HomeMy WebLinkAboutBldg Permit #05-0723
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
White
Pink
Yellow
File
City
Applicant
l&g7?
tv~tnJ
L/J
LEGAL D:t;:~CRIPTlON (office use only)
It) C{- II .-
LOT BLOCK ADDITION!//~ ~ZJ:-
OWNER 0", 'r
(Name) ~ -:r-;reo tSJ (Phone)
(Address) / (, 17) r{////6LA./~~
BUlLDER.--J --d r
(CompanyName)~~ T~ @M-
(Contact Name) --JZ>~~ ~
. r
(Address) "]79 7 ~ /f.nJ-vtAJi d ~~
(Phone) _
(Phone)
I PERMIT NO'(ls-1J3
ZONING (office use)
!e/
PID;;2lIJ - () /5'-
'fJ""z tI<.j 7- I/IJ/ 9
?.J'G Vyo ,?"707
(;. / 'l 5?-t: -,. 3)Q >
TYPE OF WORK 0 New Construction ODeck OPorch rkRe-ROofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connlc;~;n
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
III IV V
HIM
234
A
R
5
I
E
II
F
1
o Misc.
B
S U
PROJECT COST IV ALUE $
(excluding land)
C{:;-otJ. --
I hereby certify that I have furmshed Information 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
above-mentioned property and that all constructlOn will conform to all eXisting state and local laws and will proceed in accordance with submitted plans I am aware that the building
:ficial can~~~urthermore, I hereby agree that the CIty official o;;;;n~; ;au::;;e propelty to perform needed I~(Z?-d s---
r' ~ature Contractor's License No. Date
Permit Valuation .QCy--ho .-t
Permit Fee $ -Jt/- 15 I
Plan Check Fee $ I - J-:S I
State Surcharge $ I
Penalty $ I
Plumbing Permit Fee $ I
Mechanical Permit Fee $ I
Sewer & Water Permit Fee $ I
Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
BuilJlllg Onicial
Date
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
I Paid
l Date
'" Ira - /'
7/ "11- (J L..
( , _./
# $
# $
$
$
# $
# $
$
$
$ 7t, ---
I b/7~Y
I Receipt No.'7'7 I U
I By (J
.~
ThIS IS to certify that the request in the above applicatIOn and accompanymg documents is in accordance with the City loning Ordinance and may proceed as requested. TillS document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before llccupancy, a CertIficate of Occupancy must be
issued
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
IC, n 7
/11// / I c/lA...J
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
VOdr
DATE TIME
7f-'u -~
LaY1
5. 12.3
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
..-------.-...
/
/.#1
/;/
~~
"---
.IOOC
~
'"
( .~
~ )
~
c
( .
/.-
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PRO ED
o CORRECT WOR CALL F EINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/iOTI
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
7m/or
,,/ I
/6F?? U/r//P~/'l~~
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~
.'-:J ...
/;;r3
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
~RAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION /'J 0 MECH FI~ 0 ~.
COMMENTS: /Le/e;oT ~~,." ~
, /
_ /7
.:/ _ ~/)~\ ~ -ktc
" h/~ ~ ~C' kc-~c" ...
- .,
LL// ~/' /h.U/ ~e ~~
~o/z.-~fy0r ~ .-2~r,.. /~C"r~
~,./'/f-;-/~,J./' ~ 4' ~ ~ ~ t!!'",.- -
~ 4-~.z- ~ J/<:J/ (_ bt
I /
\ \4CA/4/h-/ cJ/C
. -./
~ORK SATISFACTORY, PROCEED
h ~ORRECT ACTION AND PROCEED
o CORRE~R REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSNOTI