HomeMy WebLinkAboutBldg Permit 05-1186
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White File
Pink City
3 Yellow Applicant
Date Rec' d
/2. 5 os
PERMIT NO. OS_ //80
~Z70
(Please type or !lont and sign at bottom)
ADDRESS
(}UI1~ ~/L
ZONING (office use)
~/S.D
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID zs: 03~. 04-1.0
h S/J1,'f-A. . ,
Lfr2 7D Q I{ 14 J't=' j/ hAt /
BUILDER /1 r /' _ -/-; /-
(Company Name) V(? I c::;co ;1/ c--o /J/c; / /' ..J.'A/ L
(Contact Name) /// '1/ /lbq-tP~ ~. .
(Address) L//7J fh!!;ltoc(~ .LM
TYPE OF WORK 0 New Construction DDeck DPorch ORe-Roofing ORe-Siding
OAddition DAlteration DUtiIity Connection
OWNER
(Name)
(Address)
(Phone)
0/2
~-.29.J~
9~2 j 55 --b~~
(Phone)
(Phone)
JIZ'/LJ ~ w<:
~$
'"
OLower Level Finish
o Fireplace
CODE: ~I.R.C. DI.B.c. ~MiSC. Ft 1!.6 MMA 6G ~PR//C..
Type of onstmction: I II III IV V A B PROJECT COST/VALUE $ d()./JO(), 00
Occupancy Group: A B E F H I M R S U (excluding land) .... /
Division: I 2 3 4 5
I hcreby cel1ify 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 authOrIzed agent for the
above-mentIOned property 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
:ffi':#2Y~~rt~O"' ! '=" 'Wtt ill" ill, '" offi,;,!"" d<.."," m" eo", ","0 ill, ,n.!,,,, ". '"''''m~1-'";J;:: ;! .
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I I ~ O?/?J < t.f2) 1
I $ It z. zJ
I $
I $ S-. VZJ
I $
$
$
$
$
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
$
$
$
$
$
$
$
$
$ 1'&7 zS
This Application Becomes Your Building Permit When Approved
~&~
/J
Ret\iPt No. :!;)u tJOt!;
)/.
Building Oflicial
L:J./~~r
, Date
-
Paid /(,"l z,f
Date /..1 , i-: uJ
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 constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a CerlIticate of Occupancy must be
issued
Planning Director
Date Special Conditions, ir any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
,
-'~--~~-'."--'<"-'--_._--'^".."~.--,,-,_.
....RIOR LAKE
_~TION NOTICE
ADDRESS '-{ 2. 7 ()
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE
SCHEDULED t 2.( ,{6tS
Q (ji_.~ '"' 'i';-
TIME
CONTR.
PERMIT NO.
r;- - f / lJ(,
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 GASLlNE AIR T~.
~ F.'- Q.-
I
CO"ENTS:
It ,{~<-J20 ~~ ~~Ar~
.....-
_~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~T K. CALL FOR REINSPECTION BEFORE COVERING
Inspector ( Owner/Contr:
CA L~,' k-9850 F THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE ~QU. 'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIIOTl