HomeMy WebLinkAboutBldg Permit 05-0218
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3. '1,5, 05
~i~~e ~:~y I PERMIT NO. ~ (j Z/'n.
Yellow Applicanl LI. V
(Please type or print and si~ at bottom)
ADDRESS
4DIo'7 fJ/ea~Ch\+ sf
fr<.ID~ I.A~
1Y7,j Sf"3 '7 )--
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
Irme/l- [)u.,,!')
-rhere.5A.
(Phone)
ell
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
ZONING (office use)
PID zS-. Z". c.? 0 I. 0
qg-~t/7-/Y/3
6/;7- OigO.-// / /
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
B
S U
PROJECT COST IV ALUE $
(excluding land)
III IV VA
HIM R
2 3 4 5
I
E
II
F
I
x
I hereby certifY that I have furnished mformation 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 projJerty and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the building
otlicial can re h per t for Just use Ftltthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspections.
3 -~r -D5"
Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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
This Application Becomes Your Building Permit When Approved
Paid 7{,7.0 0
Date :3 ".C. o,r'
BuildJt1g Omcial
Date
Date
# $
# $
$
$
# $
# $
$
$
$ 'l~<OO
Rec~iPtN. ~rf/(p-J
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 requested. This document
when signed by the City Planner conslltutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ljI()~ ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSU~~
FINAL
~~ITE I~ SP CION
COMMENTS:
SCHEDULED ~~
~~
nilE
CONTR.
PERMIT NO.
b - ZI8
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
I Jo Acrp~ J~ ~~-.,
Gk~ t,' ~
....-/
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CO~REC RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'I' Owner/Contr:
. 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl