HomeMy WebLinkAboutBldg Permit 05-0682
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~~:~w ~~~Iicant I PERMIT NO. 05- fdcA
(Please type or print and siltn at bottom)
ADDRESS ZONING (office use)
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2..u~
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LEGAL DESCRIPTION (office use only) (/)
LO~LOCK ADDITION I ~ ~
OWNER
(Name)
Dtu~e ~/r
I
(Phone)
Is~ rdad- r
(Address)
~C~~~:Namet Rt9&-fs ?tWJ ~C-
(Contact Name) O~fLO Gl't,e('tr~
(Address) (
(Phone)
(Phone)
I
TYPE OF WORK 0 New Construction ODeck OPorch )tfRe-Roofing
OAddition OAlteration OUtility Conntet",
CODE: OI.R.C. OI.B.C. 0 Mise.
Type of ConstIUction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
PID j1) /"'7 - /) :31
qtj2~ 'IJt7- 1 ,29~
~/;l-'l9t9-.2R 77
t;,/J -W4J-.;d-' 77
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
x
at I have Furnished mfmmation on this application which is to the best of my knowlcdge true and COITect I also certify that I am the owner m authorIzed agent for the
ed roperty and that all construction orm to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
oke his permit f'?2:US er re, I her agree that the CIty OffiCial,? ~i~ ;;6:;:' ie property to perform nee7:~ef: e S-
Signature Contractor's License No. Date
I hereby certi .
above-menl1
official can
V
Permit Valuation d 5'L)Q ;--'~ I Park Support Fee
Permit Fee $ 7u" 7Zi=--7 SAC
Plan Check Fee $ Water Meter Size 5/8"; I";
State Surcharge $ {,dS- Pressure Reducer
Penalty $ I Sewer/Water Connection Fee
Plumbing Permit Fee $ I Water Tower Fee
Mechanical Permit Fee $ I Builder's Deposit
Sewer & Water Permit Fee $ I Other
Gas Fireplace Permit Fee $ I TOTAL DUE
This Application Becomes Your Building Permit When Approved
/
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Paid
Date
Building Otlicial
Date
#
#
$
$
$
$
$
$
$
$
$
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.,-1 Rece~ No.
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ThIS IS to certify that the request in the above applicatIon and accompanying documents is in accordance with the City Zoning 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 occupancy, a Certificate 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
~~C;;
~TR.-~
PERMIT NO. ~r/ h f.2....
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/6~- 7
OWNER
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~L 0 PLUMBING FINAfJ
o SITE INSPECTION 0 ~CH FINAL
COMMENTS: /4:/00
/? / ~
?;;',~r~S i\A'&r~
7 /7Ce -.~
DATE TIME
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~KSATISFACTO~CEED ~
o CORRECT ACTION AND PROCEED
o CORRECT WORK.;~L~R REINSPECTION BEFORE COVERING
Inspector: ~ _ e.m'er/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NINOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!