HomeMy WebLinkAboutBldg Permit 05-0272
(Please type or print and si~ at bottom)
ADDRESS
3326
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4- J I- ()~--
I White
2. Pink
3 Yellow
-
PERMIT NO. 05., 0'2, 7r'
File
City
Applicant
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ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT~~LoCK J ADDITION
OWNER.-:- ) \
(Name) /l? c' c.-A
/
(Address) "3:> ".:::? ,/~ 0 ~ DrC/~ ('
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BUlLDERD " /! /.,L.
(Company Name). Lob, "- ///'- d. JC/.-.-' L a.-t,...J -
(Contact Name) /;20 h/A...- '4Z,.j" J-'" ~
(Address) )9- \' V-{ci<t...~<;' '7/r- LA S~,-~,.~.t' (..
I
TYPE OF WORK 0 New Construction ODeck o Porch riRe.Roofing ORe-Siding
OAddition OAlteration OUtility Conneli~ 0 Misc.
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
Stir/It:...>
PID zs. / 72.-. o4i. 0
/1/ t-~-
fk 1.+/0('#/
I
(Phone)
/,,$'--': ~ lI{/7-~~r-
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(Phone)
(Phone)
t:/ Z -SS'~ l/~3 2-
'l.Y2 -L/O '? - On??J CJ
/
OLower Level Finish 0 Fireplace
I
E
III IV V A
HIM R
2 3 4 5
PROJECT COST /V ALUE $
(excluding land)
II
F
I
B
S U
I hereby certifY that I have fbrnished mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authoflzed agent for the
above-mentlOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revoke this permit for Just c~e Fmthermo e, I hereby agree that the City official or a desigIlee may enter upon the property to perform needed mspections.
X ~~ - - RC :;'0307375' 7"-1(-0\5-
or Signature . C Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
'Z-, j"2Tl) ~rU
$
$
$
$
$
$
$
$
Park Support Fee
SAC
$
$
$
$
$
$
$
$
$ 7td.()O
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
7(;- vV
4-,//.6r
ReceiPt.), #/' z-
By I ~ '
BuildJl1g Ollicial
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 reqllested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
isslled
Planning Director
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
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
JJ.2CJ
St?.I0Ce.
/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o I~ULATION
...I!I""RNAL
o SITE INSPECTION
COMMENTS:
-
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~r /t/O/c. S- L/'c;
+Jcn.- 74 -e-. q/tJd~ d
v
DATE TIME
%"~-r-as-
7J/
lJ0-J-72-
o EXIGRAD/FILL\NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
J{ORK SATISFACTORY, PROCEED
~'~RRECT ACTION AND PROCEED
o CORRECT WORK, ~A'7I~R ~NSPECTION BEFORE COVERING
Inspector: y~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!