HomeMy WebLinkAboutBldg Permit 05-0206
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ADDRESS
/t? 859
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
3. Z3.05""
White File I PERMIT NO
Pink Cily . () c-. 0 20 {p
Yellow Applicant V .
A/Ill t;W
uU
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
W/(,I./c-JvJS' fo frf
PID zs-. Z.+-B. 014.0
OWNER
(Name)
(Address)
(Phone)
i.o~tJ ~o C; "-( ~ .it~J,f,"'-f
, ,...1 0 E,t" (tl} iN /
/tJ ~ M.t.MJow S+,
BUILDER
(Company Name)
(Contact Name)
(Address)
ZONING (office use)
jet
95z4t"-z 77-fi
(Phone)
(Phone)
CA/~Jw~, flAJ
. ~ ~ -z.,... '"Z-
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
PROJECT COST IV ALUE $
(excluding land)
[ hereby certity that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authonzed agent for the
above-mentlO~ed pro erly and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revo S permit ~ st cause Furthermore, I hereby agree that the Clly official or a designee may enter upon the property to perform needed mspectulns.
xU 7_035'/3 z..(p 3-2"J -oS-
t . Signature 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
II
F
1
III IV VA
HIM R
2 3 4 5
B
S U
'2-, '::> () iJ . c.IL.7
$ -7-1.'/~--
$
$ 1_ 'l.r
$
$
$
$
$
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
Date
7(, - 00
J Z:J os-
Receipt No. -F-&ti(,t..-
By ~
1 -
Buildlllg Otlicial
Date
$
$
$
$
$
$
$
$
$ 7&,00
ThIs IS to ccrtity that the request in the above applicatIOn and accompanying documents is m accordance with the City Zoning Ordinance and may proceed as requcsted. This document
when signed by the City Planner constltutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
isslIed
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
SCHEDULED
ADDRESS
/6YS-?
ah/~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ MECHFINA~
/ZerC!)o f
COMMENTS:
;6~_nME
~
4A~
Qj--,2c:O
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
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40RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO SPECTION BEFORE COVERING
Inspector:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!