HomeMy WebLinkAboutBldg Permit 05-0579
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(p, Z,/- 05
White File
Pink City
Yellow Applicant
I PERMIT NO. 05. OS7? I
(Please type or print and si~n at bottom)
ADDRESS
7"JZPt/ L,
/'737 / St./ jV'J b ?
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
~e-o/~y /1:1ftA/eJU' {)JA..J
(Phone)
(Address)
BUILDER
(Company Name) d/nrAf ~tr~
(Contact Name)
(Address)
(fA;J/77L .
(Phone)
(Phone)
ZONING (office use)
,t:::.I J 0
PID z5: / y ~ ()..:;,J ()
?HJ. I Z 7q
~. t:JJ.5"7
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ~-Siding OLower Level Finish 0 Fireplace
DAddition DAIteration DUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
A
R
5
II
F
I
III IV V
HIM
234
B
S U
PROJECT COST /V ALUE $
(excluding land)
I
E
I hereby certify that I have hlrnished Information on this application which is to the best of my knowledge true and COlTec!. I also certify that I am the owner or authorIzed agent for the
abov~~tlOned plOpel ty and that all const! UC110n WIll conform to all eXIsting state and local laws and WIll plOceed In accordance wIth submllled plans I am aware that the bUIlding
OffiC't;.. revoke t~IS pelmlt for JUS~lmOre, I hereby agree that the CIty offiCIal or a deSIgnee may enter upon the propelty to perform nc:; l~sd)n''-6~
-/;!fI ~ature Contractor's License No Date
~/ / -
Permit \1aluation
Park Support Fee
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
SAC
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
"'7 r" " c.v
[". ~/. (lJ--
Paid
Date
Building OHicial
Date
#
#
#
#
$
$
$
$
$
$
$
$
$ 7 b_ VV
I Rec':J1iP . t?--r.?Yr
I By .t.1
""
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, This 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
:T//~J-
SV~J'-e~ fr'/
SCHEDULED
ADDRESS
/737/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"..iJ-FJNAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
D }!JfH FINAL /
"Le~, tc/E'
05'---0-/53
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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5\~~.;-? -/-e::;, Ad ~ d /
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/f/yt' f.4.-/ /;2 /1 7?;';e, 4. L4 /4
~5 CV'? L' .... -Ie ,5"1 'd / k s> 1/?{--L ~
A~'N' fh /- ~s~~:/~ -;;f~ d (' ~
. /
r ~-c ~ /'v f--<-
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~ .;~
rl<oRKsC:: ::E(- '"- ~
4-~RRECT ACTION AND PROCEED
o CORRECT WORK',C:;;7 ~EINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
, Y
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI