HomeMy WebLinkAboutBldg Permit 05-0374
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
J Yellow Applicanl
Date Rec' d
.-- +-. ..-.-
...::/ . . . 0:;;
PERMIT NO. 05. {)374-1
(Please type or print and sign at bottom)
ADDRESS
/~820 IJv/l/O u:.-
77&L-
LEGAL DESCRIPTION (office use only)
ZONING (office use)
;eISiJ
PID 2..5. 0/7. (.)80.0
LOT BLOCK ADDITION
I
OWNER P~~I //(/;; ~ tl 1~,~iY
(Name) .?
,
I
(Address)
BUILDER
(Company Name)
(Contact Name) T Ci'\.
(Address) I 7/7 i
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
(Phone)
YY7'-(J06tJ
I/k
tc 11~l ~h
L/~v-l IX
l.,~1/1/
152 -c;~l-- Slt1-
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
J""o S;Jf! ;( Jvt,jt~
. ?"\lb.
'fI
v!1f;v'l/' tA-
I
TYPE OF WORK 0 New Construction ODeck DPorchMe-Roofing ORe-Siding
OAddition DAlteration OUtility Conne~~ 0 Misc.
(Phone)
(Phone)
.v~
DLower Level Finish 0 Fireplace
I
E
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE $
(excluding land)
I hereby certify that ( have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent for the
above.mentlOned property and that all constnlction will conform to all exisllng state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:ficial cn:ok7iS PR f~:.;t?I Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform ne;7?/05
,r'\ Signarure Contractor's License No. I Date
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 Permit Fee
n
F
I
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
$
$
$
$
$
$
$
$
$
'llj, . {; (j
This Application Becomes Your Building Pennit When Approved
Paid
Date
7&. (; cJ
y ~.(.).s-
Receipt Ng. -t916~
By ~~ _..
BlIildll1~ Otlicial
Date
ThIS IS to certify that the request in the above applicallon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constllutcs a temporary CertifIcate of ZonlOg compliance and allows construction to commence. Before occupancy, a Ccrnflcate 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
DATE TIME
~?6r-
/6'P,zo /f'~'-? d 4~~ 7/'/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
~ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~/~6 ./
dJ.5--37~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
A7/0 _/
~. 4'p'~""'-"/,, C/~
-'-ftf ~ ~ C://' CJU/7 ~
C" L/
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
SPECTION BEFORE COVERING
Inspector:
. Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!