HomeMy WebLinkAboutBldg Permit 05-0531
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 05.0503 I
/ tP" 9 t) LV tJ AI f rt t/ 6 J.
LEGAL DESCRIPTION (office use only)
LOT / / BLOCK I ADDITION
OWNER /'
(Name) L ;' 7"'-.
(Address)
/l /U () ft!-. J 0 t./TH
PID 2-5. 0/7. OIl. 0
~ .d7AY
Date Rec' d
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ZONING (office use)
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(Phone) 9s..;2-r:.v? ??5-~-
BUILDER . ~ /? _ /' /? /..
(CompanyName~p'~-- - /C'".rz /"'<",r " 7~{;?)~~ (Phone) <f/..2-S7?/- Yt:J'cfi'"
(Contact Name) _ .J::>~'/~ .A~4".s~.A/ r- (Phone)
(Address) "'7'";;' R"?' ~_-' ///'f.- ~$; ~--- - ,~
TYPE OF WORK 0 New Construction ODeck OPorch 'vl'Re-Roofing
OAddition OAlteration OUtility Conn~
o Misc.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
A
ORe-Siding OLower Level Finish
B
I
E
III IV
H I
2 3
PROJECT COST/VALUE $
(excluding land)
V
M
4
A
R
5
B
S U
II
F
I
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o Fireplace
7'~~.P~ r~
s pplication which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent for the
I conform to all existing state and loeallaws and will proceed in accordance with submitted plans. I am aware that the buildmg
rmore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspectlons.
~c-;..2cP/??'i{'~/ ~.. '??"-& (-
Contractor's License No. Date
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
$
$
$
$
$
$
$
$
$ 'l~.()()
This Application Becomes Your Building Permit When Approved
Paid
Date
?{€..(/O
". fl. ar-
Receipt N.6.#_ 4--f~J
By /
..,..
Building Otlicial
Date
ThiS IS to certify that the request m 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 consUtutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate or 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
SCHEDULED
ADDRESS
/66 Z'O LYC~f
,.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
Y MECH FIN~
.k~Y(JO-r
COMMENTS:
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/<;601- Q k?// e~ /' s
rf-//)~ Y-'A.L Or/1~VZ
-' V
DATE TIME
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~~
o..s--SJ/
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ORK TI6F-ACTOR:V:. .. nV\,E:.cD
/b- CORRECT ACTION AND PROCEED
o CORRECT W'1J1"~OR R~ECTION BEFORE COVERING
Inspector: I"~ ~ Owner/Contr:
---." -
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~
CALL 447,9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI