HomeMy WebLinkAboutBldg Permit 05-0654
(Please type or print and si~n at bottom)
ADDRESS
/577/
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/.-1.dS"
White File I P M -s4t
rink City ER IT NO. OS, ()~
Yellow Applicant ,
~~dNr PI/8
A/W
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID ~j-:'2.ff.OOZ,O
OWNER
(Name)
ZONING (office use)
~ ~J+rISoJJ
(Phone)
t5/' ?9S--- f.flJ/
(Address)
BUILDER 730 /Jr-""'\~ 12
(Company Name) l'-HVv IJDRN~
(Contact Name) {>rzM ':1OH-IIi9on/
(Address) 12-11 () t!{LtJWIIJ JlI~ tVl
(;/Z --1jq--::6 '51
(Phone)
(Phone)
-:;-5737
fSvf4t/:f' VI~
TYPE OF WORK 0 New Construction ODeck OPorch r.kl.RoOfing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Conn~
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
III IV V
HIM
234
PROJECT COST /V ALUE $
(excluding land)
I hereby certify that I have f\1rnished mf()rmation 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-mentlOned property and that all constructi n will conform to all existing state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
official can revoke thi It ~ t use F ermore, I hereby agree that the CIty official or a designee may enter upon the propelty to perform needed mspectlOns.
A
R
5
B
S U
II
F
I
x
Contractor's License No.
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
7- ?,.-e;J j
Date
$
$
$
$
$
$
$
$
$
7(,.o()
This Application Becomes Your Building Permit When Approved
Paid
Date
'100/vt/
77;U-
Receipt No. ~ 7+-0
ByA
J'
Building Oflicial
Date
ThIS IS to certify that the request m the above applicatIon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. Tins document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cerllfkate 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 15JI J
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
...g, ~SULAJ"ION r
a-..tINAL ~ _\'"8~t
F J SITE It Sl'ECTION
COMMENTS:
DATE TIME
SCHEDULED 7/~-
F.J:I 0 .IA..A. d\.. .,l ,
CONTR.
PERMIT NO.
6-Gc;<f
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
fl) 0 r-OC) ~ 4r- .P ...,"'5
/' I "''I
~
-
I :_./
\ ~ L.L-
fiORK SATISFACTORY, PROCEED
o CORRECT TION AND PROCEED
o CORRE 1(, C~ FOR REINSPECTION BEFORE COVERING
Inspector: ./ I Owner/Contr:
CAL.. 7 850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlRE~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIIOTI