HomeMy WebLinkAboutBldg Permit 05-0418
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
S. II. ~5
~;~~e ~:~y I PERMIT NO. 0 $. 0 A-Ie
Yellow Applicant ~
(Please type or print and sign at bottom)
ADDRESS
l~ ~ 3<e J ' L\-~ i'L1_... (""' t' vt <S<e. Q\,. ~J' ~...lc\-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER \ / \
(Name) M, c-L~ --::>L. "L~ r
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK
CODE: OI.R.C. OLB.C.
Type of Construction:
Occupancy Group:
Division:
II
F
1
III IV
H I
2 3
I
E
V
M
4
A
B
ZONING (office use)
PI/ff}
PID 'Z5. 3Z z,.. ODb. ()
(Phone) 9 t::;:) _'-/L/7- '-LJO-:J
(Phone)
(Phone)
ORe-Siding OLower Level Finish
A
R
5
B
S U
PROJECT COST/VALUE $
(excluding land)
o Fireplace
I hereby certify that I have hlrnished mformation on this applicallon which is to the best of my knowledge true and correct. I also cenify that I am the owner or authonzed agent for the
above-mentlOned property and that on Iction will conform to all exisl1ng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
:~~~'t for ~ aus urthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mSp'eetlons. 0 5"
Signature Contractor's License No. ~l
o New Constr~n OD~ck OPorch ORe-Roofing
OAddition "Iteration OUtility Connection
o Misc.
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace IJermit !ee I $ .
jib' /1, ~vR~.~:;tt;."
. ffi\g. oificial ./ I D~te
= - I'
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ -, c:'. -
Paid7t,. t4.J
Date 5./ifl.r
Receipt ~o. 49/?Z-
By /J.. _
t/'
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 conSl1tutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate of Occllpancy mllst be
issued
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Planning Director
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
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
Bertz.@fiRIO~:R~~;fS.
INSPECTOP "tl!~LA_ .. ..... .... .,
DATE ~ /If 10<' ----- 1'ERMT1'~~V~~"\~HB
o ACCEPTED As SUBMITIED
W ACCEPTED WITH CORRECTIONS AS NOTED
o NOT ACCEPTED-CORRECT & RESUBMIT .
These comments are for your information. All work shan be done
in full compliance with all applicable building & zoning code re-
Quirements including items not specifically noted In this review.
KEEP THIS PLAN SET ON SITE AT ALL TIMES.
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DATE TIME
...,TV OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Lyn-~
ADDRESS
/t33C. ~ ~_
OWNER
CONTR.
PHONE NO.
PERMIT NO.
S--L{If!
o FOOTING
o FOUNDATION
;f-'FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT "(J t': ~R RElNSPECTION BEFORE COVERING
Inspector: f ty ...- Owner/Contr:
, .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
IlVSNOTJ