HomeMy WebLinkAboutBldg Permit 05-0690
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
1>J45 FREEmo,.J.,- ~ rJvJ
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Pink
Yellow
File
City
Applicant
PERMIT NO. OS-hC(C)
LEGAL DESCRIPTION (office use only)
LOT I BLOCK DADDITION ~ci.- U~;a:
OWNER
(N ame)
TIJ11.
)lY 5
:J)\ if{
AZ-~ t>rJ(.
(Address)
---- --
BUILDER
(Company Name)
(Contact Name)
(Address)
C-4L ~ _
CHR\.,
t:t l- )) e:
er... <;.~ 0 f\ 1
c --n'\{Z.. ( ,...,; '-- lJ\ r.I e-
(Phone)
(Phone)
(Phone)
('1 r/0-
Date Rec' d
ZONING (office use)
PID Clt/Cj - o3f'
~ fL - 9 YI- -f11(jf
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: DI.R.C. DI.B.c.
Type of Constnlction:
Occupancy Group: A B
Division:
III IV
H I
2 3
V
M
4
A
R
5
II
F
1
I
E
o Misc.
B
S U
PROJECT COST IV ALUE $
(excluding land)
I?--oo
.
I hereby certify that ave furmshed mfor .on 0 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
a. bove.men110ne~d ro > and tha all c st. IC . will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am awa. re that the buildmg
official can rev ' i rmlt fo st ca thermo hereby agree that the CIty official or a designee may enter upon the property to perform needed mspectlons
X ~~ ~z..<t 1 S
V Contractor's License No. Date
Permit Valuation a5-o~:--
Permit Fee $ 7tl,. '7c;-
Plan Check Fee $
State Surcharge $ /- fl. s-I
Penalty $ I
Plumbing Permit Fee $ I
Mechanical Permit Fee $ I
Sewer & Water Permit Fee $ 1
Gas Fireplace Permit Fee $ ]
This Application Becomes Your Building Permit When Approved
Buildll1g Otlicial
Date
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE \..A I
I V --
Paid
Date -;~ IS?..... L;
#
#
#
#
...--
$
$
$
$
$
$
$
$
$ /0.-
- - -
Receipt No. #46/L/
By g
ThIS IS to certify that the request in the above applical10n and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issucd
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~--..2~
ADDRESS
~Z2 LIS p~~V1A ~. .>-r
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~1"'1~AL
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
Y'O().p
..----.-----
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/' / A_I
/ I / /J<e !
'-----'I v":--
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o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
i __.._......"P.
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~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~RJJ ~L~EINSPECTION BEFORE COVERING
Inspector: // L/Y Owner/Contr:
v .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
/NSNOT1