HomeMy WebLinkAboutBldg Permit 05-0720
L.:. if OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERuJ.llCATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
Date Rec'd
7 27. 0:;-
~:::- ~ I PERMIT NO. os. 0720
J Y.1ow AIIPl'-
(PlHIe tne or IIriDt ad sip at bottom)
ADDJlESS S-59~ C<2Jo..r...vooct Tr\. Al.e.
LOT BLOCK
LEGAL DESClW ....ON (oftke use only)
ADl.Jll10N
PID zs: 21+. 039. (/
~I.,......~...
(Name)
I t..("ry T o....Jo ~
~~ 1 S' uc.\.o..r~ 0 0 j --hr(. .Ai. c.
(phone) 952- '-1'1 ~ - '3 ~ S '-
. (Address)
=:Name) c:-~ It" s: J; ""j I -'- V\ C .
(Contact Name) ~v...e... ~ c....'^-.("'~ s ~ "" s e; n
(Addn:ss) 2-00 Cf I3I'j O~ 'c ~ r. ~~V\.S v; \\(' , MVl
ZONING (oIIIce_)
(phone) "I 2 - 'I III - s- 'f 'f b
(phone) b ("2- - ~ , ~ - b ~f Cf
S-S- ~78'
TYPE OF WOIlX 0 New Construction ODedc OPorch OlU.RooIin& JDh-SidiJIg OLower Left! Finish 0 FiRpIace
OAddition OAlteflltiOll OUtiJity Con... ..:. .., 0 Misc,
. CODE: OI.R.C. OI.B.C.
Type of Coastructicm: I
Ocaapaacy Gropp: A B E
Division:
n mlVVAB
F HI MR.SU
1 2 3 4 5
PR.OJECT COST/V ALUE S
(adudiq IaruI)
/ ~ (}OO
I btnby C<<liIY /bat I haft ftImished infOl'lllOlIion 011 this ;applicaticm wbidI is to the best of lIlY tnowkcllr /nIe and ... . ... I al$O mtify dial I am Ihr <IWIICI' ell" autlWriztd a,ent fllr the
above.mentlOllCd .r"'" "'. and that aU ........ . :".. will .. ,.I, to aD exiscint state ancllotallawl and will.., ...J in a n. . .... ~ with SUo ":",,,1 plans. I am awan: that Ibc buiIdinJ
~~~az;:;v' ..., Ibtnby~dlatthedty~~;~;;:~;';.., ". topcrfoon-;/~ ~ los:-
/ Si.lDature Contraclor's Lloense No. Date
I r. .d""" Valuation
I Permit Fee
I Plan Checlc Pee
State Surcharge
Penalty
Plumbing Permit Pee
Mechanical Permit Fee
Sewer &: Water Permit Fee
G8I Pireplace Permit Pee
s
s
s
S
$
S
S
S
I Park SI-rr woo Fee
SAC
##
##
Water Meter Size SI8"; I";
r"..,,, ..,... R.educer
SewerlWater Connection Pee
Water Tower Pee
I Builder's Deposit
Other
TOTAL DUE
N
##
TIds Aptl6mdoa B . .. .. ". Y_ BaiIcUaa Pemdt When A"" . ..
Paid
Date
7(P.t/Z1
7.. 2 7. Ur
I ~.~/NO.
O'
BuildiRR Oft'Ic:ial
Dale
$
S
S
S
S
S
S
$
s 7G. dO
4-9/1.3'7
,
ThIs is tocettify tbat the nquest in tile alloft application IIId a,... 'Jr' ..,.,:nl cIocumelllS is In ~ with Iht CiIy Zonlnc Ordlnancr and may,.. ...J as .,. .....,1. Tbisdoc:umenl "
~ sipcd by Ibc CitY Plannerconatitlltcsa ".., "....: Certificate of Zonina .... .:uce and allows COIISII'IIction to "'" ,..:c. 1Irfi:ft uc:c:upaac:y. a CertiIicaIr of 0 ..." . .,' must be
issued.
PluuIina I::.. . .. " .
Date SpcciaI COlIIIiCioaf. if_
24 ho., aotift lor .n Inspecd01l1 (952) ....7-91... fax (952) 447-4245
16200 EasIe Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
SY9's-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
DATE TIME
SCHEDULED ~S-
e"-~d 7r/
CONTR.
PERMIT NO.
~ - ?.2O
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
2;:"ECM F~AL.. /
Ael)" / cI(?
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/"
/':7
(/ /? 'i
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C
/
0/
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(" los~
~OR~ORY.PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL F. REINSPECTION BEFORE COVERING
Inspector: P;
~ Owner/Contr:
, ~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl