HomeMy WebLinkAboutBldg Permit 05-1176
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. .
AND l.J IILITY CONNECTION PERMIT
(Please t}'1Je or print and sllPl at bottom)
ADDRESS
tft~ 7 P/eC06..~-t St. S.f.~
1. White File
2. Pink City
) YeJlow Appian.
Date Rec'd
PERMIT NO.S. f lIb
ZONING (office use)
- ~
/~ 0/13 /
/iVII~#' ~ PID25".fioZ.n'b&.D
/ :fJu ~ ~ {------ .
~=j)PlLV) 4- I-Iolly B r-e(A~~ (Phone) t)..!>d- t.J'/7-/LfR.37
(Address) L/1o&7 ?Jea.sod/lf _Sf. S.E - Pr,t nr La.j:fp S<;37;;L
~~~~~Name).LC\ ~1)P)js; 'Re~nC'jel/ VIj (Phone) 95d -fiKR-5~
(Contact Name) ~ ^'j (Phone) II
(Address) 9tJO / E RJ nFJW11 'Y1..Jfh ~ ~ - # l!I!1} :R/oom; ~+OY1 /J1t\J ~~ '-/;;).,,(J
TYPE OF WORK 0 New Construction DOeck OPorch ~.Rooting ORe-Siding OLower Level Fimsh 0 Fireplace
OAddition OAlteration OUtility Co~ction 0 Misc.
LOT
BLOCK
LEGAL DESCRu uON (office use only)
ADDITION
CODE: OI.R.C. OI.B.C.
Type of Constnlction:
Occupancy Group:
Division:
A
B
I
E
V
M
4
A B
R S U
5
PROJECT COST /V ALUE $!L!/t20,.!!S2-
(excluding land)
I hL'fcby cmify that I have furnished information on this application which is to the best of my knowledge true and correct. I also cenify that I am the owner or authorized agent for the
above-mentl~~:e"j.~"ilrtnd that all cons~~~~~fonn to all existing state and local laws and will ~......J in accordance with submitted plans. I am aware tbltthe building
;oa1 can r~7it forj;st,~us:. ~ hereb: agree that the city OffiEc de;6ilii~Dhlrty to perform 3i3t7~e:>0
- D Signaturl Contractor's License No. ' ~ate
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
n
F
1
IDlY
H I
2 3
cJ-, S15lJ.. UiJ
$ I
$
$
$
$
$
$
$
This Application [\.... ..es Your Buildlns Permit When Approved
Building Otlicial
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid /f<7~"V2/
I Date /[U.-I/;-
#
#
#
#
$
$
$
$
$
$
$
$
$ 7~,vv
/}
Rece~ No. 6oSZ-J'
BJI/1..-..
d
ThIS IS 10 cmify thaI the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requL'Stcd. This document
when signed by the City Planner constitutes a temporazy Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CL'flificate of Occupancy must be
issued
Planning Director
. ......,-...
Date Special Conditions, if any
24 hour notice for all Inspections (9~2) 447-98~, fax (9~2) 447-424~
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECT/ON NOTICE
DATE
(~
~b 7 ~4qso~,L-
TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
PERMIT NO. ~-//'76
PHONE NO.
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
~L 0 PLUMBING FINA;pL 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS: ,~ "rcOO . ..
4'7 4 ~
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L L/I C
~~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
h~/
INSNOTl
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