HomeMy WebLinkAboutBldg Permit 05-0636 Re-Roof
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
2. Pink
3 Yellow
File
City
Applicant
I PERMIT NO. rJ5" - ~36
(Please type or print and si~ at bottom)
ADDRESS
ZONING (office use)
S" 8 0"7
I ~-" -t:!L
Sf, SE-
Pt lor 1 to. ~. JVJ S<;;;:3 7:.L
LEGAL DESCRIPTION (office use only)
LOTJ l'1LOCK OADDITION (()aJt a'~fOlt-
'"
PID ()1!i ""00&,--6
OWNER ~
(Name) J" M.
(Address) .s-ZSO ...,
]( () 4c)\.) s ~ (. K
I.o-o.~ <: i,
~' ~ 5c-
(Phone) q 5:k . 41-7 - C:;'S7 ~
Pr-,'a( J...e,ke
j-\jU
5"S ~ 7 ::2
BUILDER
(Company Name) M..J v..e~}-
(Contact Name) it e r ~:'r,
(Address) 313 Jer::.rcrSo...J
ray{'.~ "j('c~.:oJJ
H ~u .j.-Its?...,
/
ilovv L:4.e:...,ltA MAJ
., " I
TYPE OF WORK 0 New Construction ODeck OPorch ~Re-ROOfing
OAddition OAlteration OUtility conn~
o Misc.
01.' \K1k,'J S
,'~c
(Phone) 76.5 -4 27- ~C<{C
(Phone) '163 -- 4~7-~co;e;
. S-S3ib
ORe-Siding
OLower Level Finish
o Fireplace
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group:
Division:
A
B
I
E
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
[ hereby certify that I have hlrnished Information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above.mentlOned property and that all construction will conform to all eXIsting state and local laws and will proceed in accordance with submitted plans. I am aware that the building
offiCIal cnvoke ,./~,,'ut for Just cause Fll1thermore, I hereby agree that the City offiCIal or a deSIgnee may enter upon the property to pel form needed inspectIOns
X ~-~p,-,-. ;LOOID:).77 7-5 - 05
7/ " SIgnature Contractor's LIcense No Date
Permit Valuation ~ 500, -
Permit Fee $ 74" 73
Plan Check Fee $
State Surcharge $ /'d~
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
This Application Becomes Your Building Permit When Approved
Paid
Date
-/ --
./ Ct/ ' .--
-J,C:>~
/ ~ J
# $
# $
$
$
# $
# $
$
$
....
$ 7 to :--
Receipt No. L/t;Y; fa /
By ;j-
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Building Otlicial
Date
ThiS IS to certify that the request in the above applical10n and accompanying documents is In accordance with the City Zoning Ordinance and may proceed as requested. TIllS I
when sign cd by thc City Planner constllUtes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupa'
issucd
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
DATE TIME
. 7//"#~-
{ {<
/fOTL. S~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
SRCJ/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
piNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o -" FINAL (l
/<:-C'roo-j-
COMMENTS:
as - 6J6
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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7
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r I Yo Vt. r ~ c::Jt?~(.I .-A Q..
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL OR REINSPECTION BEFORE COVERING
Inspector:
;)
.
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INmOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI