HomeMy WebLinkAboutBldg Permit 06-0053
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~ at bottom)
ADDRESS
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Date Rec' d
File
City
Applicant
I PERMITNO.O~- S3
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Tva II
DilLt ~
LEGAL DESCRIPTION (office use only)
LOT 10 BLOCK 1.-1 ADDITION / j) ~ ~ () ~
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
CODE: OI.R.C. OI.B.C.
Type of ConstIuction:
Occupancy Group: A B
Division:
ZONING (oillce use)
/2/
PIDdS: ..1~~- 115- C
IVCt.-l \
(Phone) q Sl - "21.> 0 - sCj s ~
t D'r\s, -\-vu c.-h bV\
~" (Phone) t1S2 - 44t> -, , ~ D
~
ORe-Siding
OLower L~vel Finish
o Fireplace
4 ,"DD D
I hereby certifY that I have hlmished mformation 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-menl1oned 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
:ciaI can revok~p:mit ~_ r st caus '~t;:ore, I hereb~"1atthe City official or a des2.e~ m~ ;n~;o~ t;propelty to perform needed, T~e~'T() L.P
Sig ture Contractor's License No. Date
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TYPE OF WORK 0 New Construction Deck OPorch ORe-Roofing
OAddition o Alteration OUtility Connection
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
I.U,'~' $ /ZZ;(Pq-
Receipt No. 5U::;it5'
By c!f----
o Misc.
I
E
m IV V
HIM
234
II
F
I
A
R
5
B
S U
PROJECT COST/VALUE $
(excluding land)
$
$
$
$
$
$
$
$
,2. ~ 0'0
, ~~ i'S
b. .
~ 1. 9i
/. ,0
Park Support Fee
SAC
#
#
Water Meter
Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
Jhok6
{ Llate
TOTAL DUE t/fU,6D
Paid idv~4;Jq
Date ! - ;:j-O- . t.,
This Application Becomes Your Building Permit When Approved
#~
Building Ofticial
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 Zoning compliance and allows construction to commence. Before occupancy, a Cert1l'icate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /S ~?? t-v'oo/ ,c:1ve"l' 0,,/
TYPE OF WORK ,d'-ecL
USE OF BUILDING R--Gs- /1j/'C
PERMIT NO. 6 - 5"3 DATE ISSUED I qli), (J ~
BUILDER ~"fe'" a-.r~Vtt:--fi~-- PHONE # ~->,z -~c;6-?7-.SO
,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
......I~PECTOR I DATE )
FOOTING I 11I/7 I ) /"Z.~ / tJ fA
PLACE NO CONCRETE UNTIL ABOVE HAS BEEylSIGtlEr>
I I
I If I f!Y7(rL
FOR ALL INSPECTIONS (952) 447-9850
FINAL
CITY OF PRIOR LAKE
INSPECT/ON NOTICE
DATE TIME
SCHEDULED t I '?~
Li ~ 'OU~~
--
ADDRESS -L:)~_ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
f.., - _5 ~
o FOOTING
o FOUNDATION
o FRAMING
.0 ~SULA;r~N L
.JI(!INAL ~
o SITE INS ION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
-
~ORK SATISFACTORY. PROCEED
o CORRECT CTION AND PROCEED
o CORR T RK, CALL FOR REINSPECTION BEFORE COVERING
InspectOI : Owner/Contr:
CA 447-98~OR THE NEX~ INSPECTION 24 HOURS IN ADVANCE.
CODE .REMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFE;'!
INSNOTl