HomeMy WebLinkAboutBldg Permit 05-0549
\..II i OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY "J!.AIUICATE OF ZONING COMPLIANCE. .
AND {, I.I..LIITY CONNL...IION PERMIT
(PIeue type M wiIIt aacllIi&D lit 1IoItoa)
A..i...idSS
1~7~{ LV6N
I
Date Rec' d
~: '=" ~ I PERMIT NO. 0 5 -L /--1VJ
] yon- ,,1cInI . J7 II
Ih/~ S E .
.P/U~~~
LEGAL DESCllu: &&ON (office use 0DIy)
LOT~ BLOCK :3 ADDmON
Jf1tf< If .J M'tS *- 0
(~ 7 B <{ ~V,rv0 fh/[
OWNER.
(Name)
(Address)
(Phone)
;:J, E
~=NamC) fL ITC F)<-!t.A/I'o("s J..-/1.C
(Contact Name) ']' I?r;o" ~ (\ ~ ~~J
(Address) ~ CJ A- ~ r (.. - I~
ZONING (~_)
PID (J/1- ()t;r;
fs:I - 'i7'7- 7Js-B8
(Phone) &S-/- "88 - 7808
(phone) ~~/- 'I7t) -S-O]7)
TYPE OF WORK 0 New ConatnlC:tion DDedt OPordl R1Re-Roolbll DRe-Sidina DLower Level Finllh 0 fireplace
OAddition OAlteration OU1iIity Con ,.. .~'. " 0 Misc.
. CODE: OUt.C. OI.B.C.
Type of CODltl1JCtion: I
Ocaapaacy Group. A B E
DiriIioa:
n mlVVAB
PHI MIlSU
1 Z 3 4 5
PllomCfCOST/VALUE S
(~huli..land)
S-;; 0-0
I bmbyc:enify mIl haft fiImished ia1. . .....::Jft on Ibis appIicalion whidl UIO lIlc best "'my bIOwledlr _ and.. .... J also certifY thaI J am lIlc tlWllrrl" au1horifed qmr IiIr Ihr
. ... . ........, '.. . ,..' aad that aU .. ".... .:".. wiI1 ...:. to all existinI stale aad JocaJ 1aws aad wiI1 ,. ... Jin . ...... ~ wilb submitted plans. I am aw~ 1hat lIlc buildint
~an~TC Fum ."..lhmbyapetballllcct~officW:2~~99en1~1hr..... .... 10... &~~
/ / . -~ CoIltractm's L .... . No. I 'Due
II
Permit Valuation
Permit Pee
Plan Check Fee
State SUtCharge
Penalty
Plumbing Permit Pee
Mecbanical Permit Fee
Sewer & Water Pennit Pee
Gas PiJep1ace Permit Pee
~ .<)(X), --
S 7tj, 7~
S I.;::)~
s
s
s
s
s
s
TIais AppIicIItion r. .., .. .. Y.. 81IiWiDI Pmadt When A. I. 1 .. .!i
Buildinll Official
Date
Part Support Pee
SAC
WaterMeter SizeS/B"; I";
Pressure Reducer
Sewer/Water Connection Pee
Water Tower Pee
Builder's Deposit
Other
TOTAL DUE
t;---
I Paid 1 . -----
Date ~-IY'7
#
#
#
#
I R....:..t No.
By 0
o
s
s
s
s
s
s
s
s
s 7(P.-
f.-/ XI 9 /
. TIus is to c:enify thallllc request ia lIlc abaft appI' ., . ,',.. aad I ..... I."" riII& doc:unIrnls is in &lXOIdanI:r with lIlc City Zonina ~ aad may.., ...... I as requesIed. This dllcumeat
whm sipcd by dlr Ci~ PIannrr ....~~..JIeS a '. .... ... ".: CerIifil:ate 01 1.ottiq .. ..../,.IIICC and aIJows .. ..... . ction to CIllIIIIDelICe. Brlilre oxcupancy, a Cer1ificatr ole ......", cy must br
issued.
I'ItatIliIIJ t:... '" .
Dare Special c-liliou.1f my
24 ho.r lIo1kt for 1IIInspcdiou (952) 447-9151. fall em) "'-424!1
16200 Eagle Creek Avenue Prior Lake. MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/~??~ LY~HS
/
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
/0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: 4 I)
~rO(') ~
DATE TIME
(,/.v ~S-
~
~
os - -..s:- ~r
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
A _
/ 1/
~ f- 4'~~e9r S
/ ) ~/ /'
rr-/Vi ~ ~ fi-- <::::::;i6rtdv~d
J ;r , ~ -
u(~
A
~~RK SATISFACTORY, PROCEED
/ ~ CORRECT ACTION AND PROCEED
o CORRECT WOR'J~~EINSPECTION BEFORE COVERING
Inspector: ~ I ~Owner/Contr:
--
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!