HomeMy WebLinkAboutBldg Permit 05-0274
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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2 Pink
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File
City
Applicant
(Please type or print and si~ at bottom)
ADDRESS
/ -IZ.80 TIf'1tJ IH'I
/tV e;- III e
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name) WOO {; ~A./F/6-z...--0
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
Date Rec' d
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PERMIT NO. {)s;-. () 274-
ZONING (office use)
PID ZS-, ?:JO, o~o. 0,
'Ii'] ') ijc;1 -62 Lj?
j
TYPE OF WORK 0 New Construction ODeck OPorch \i,'le-ROOfing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Con~ 0 Misc.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST /V ALUE $
(excluding land)
I
E
II
F
I
I hereby certify that I 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 authonzed agent for the
above-mentIOned property and that all construction will conform to all exisl1ng state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:clal d;~hl~pe~;ZFll1thermore, I hereby agree that the City offiCial or a deSignee may enter upon the propelty to perform n~: In/elon/f] j
......... Signature Contractor's License No Da'fe
Permit Valuation 2./ <j?fL), VLJ
Permit Fee $ '7~, 1 ')r-'
Plan Check Fee $
State Surcharge $ I.Zr
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support 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
7f, . VlJ
?:/2,C'.s,'-
Paid
Date
Building Ollicial
Date
#
#
$
$
$
$
$
$
$
$
$ 7(;;.00
#
#
R'r ??'~;>
By
~
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 requcsted. ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Cerllficate of Occupancy must be
~~ I
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
~~S-
~~tJ;?l/
OS---27y
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/Y 2 yO
OWNER
CONTR.
PHONE NO.
PERMIT NO.
,
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
I'FfNAL 0 PLUMBING FINAL
o SITE INSPECTION /5 MECH FINAL /)
COMMENTS: f/C er CJO I
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/
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ORK ISFACTORY, PROCEED ~
o CORRECT ACTION 9
o CORRECT W~77~OR REINSPECTION BEFORE COVERING
Inspector: /~ V Owner/Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI