HomeMy WebLinkAboutBldg Permit 05-0741
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~. r oS
File
City
Applicant
I PERMIT NO. 05.674-/
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(Please type or print and sijtn at bottom)
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LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT
ADDITION
PID z5. /7Z. (J 11.0
BLOCK
OWNER 4 ..d./J
~t- la, 'O$P:Jer;/ SLJ4RI
(Address)5lrI1C
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.~e) ~r:Q- ~7fJ- C//G7
BUILDER
(Company Name) SCLF
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch },;e-ROOfing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Co;an
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$ 9t?t7..-
I hereby certifY that I have furnished mf()rmatlOn on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
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:fiClal ca voke IS pel lOll for us~ : e ~~7at the CIty offiCial or a deSIgnee may enter upon the propelty to pel form needed ~/,;?.,--
,- .;' e " Contractor's LIcense No J~::': ba1rc ~
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
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Paid
Date
Building Orticial
Dat~
#
#
#
#
i Receipt )10.
I BY/,'
$
$
$
$
$
$
I $
I $
I $ .-J~. 00
99'~
ThIS IS to certify that thc requcst in the above applicallon and accompanying documents is 111 accordance with the City loning Ordinance and may proceed as requcsted. Tins document
when signed by the City Planner conSlllutcs a temporary Certificate of lon1l1g compliance and allows construction to commence. Before occupancy, a Certlficatc of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
DATE TIME
CITY OF PRIOR LAKE g~ ;"V'$
INSPECTION NOTICE SCHEDULED
ADDRESS $341- & Is (;AA...
OWNER CONTR.
PHONE NO. PERMIT NO. S'-7'-f1
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: r (}{) r
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~RKflL:. ~INSPECTION BEFORE COVERING
Inspector: I / 1/ I Owner/Contr:
V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl