HomeMy WebLinkAboutBldg Permit 04-1228
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/2./5".04-
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File
City
Applicant
I PERMIT NO. 01-. IZZ81
(Please type or print and sign at bottom)
ADDRESS
14 130
-
gWE15lR..Q TRAIL- Nl:::~
ZONING (office use)
tel
LEGAL DESCRIPTION (office use only)
LOT /4BLOCK 2. ADDITION /'1/1 Pt6 #/~~ 2- ~
PID Z5: 3+3. () Z-s. 0
OWNER .11
(Name) L, LJLL- Y
1~RA1Z~E"
(Phone) 15"2. 445""- s.1$~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding Oltower Level Finish
OAddition OAlteration OUtility Connection 0 Misc. "" \ +-,i!!/?J-S .
CODE: DI.R.C. DI.B.c. PROJECT COST/VALUE S
Type of Construction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
o Fireplace
I hereby certifY that I have fiJrnished 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-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 building
:fiClal can rev~ for Just ause Fur _ er ore, I hereby agree that the City offiCial or a deSignee may enter upon the property to perform TZ-~n{s:'O {-
Signature Contractor's License No Date
Permit Valuation 41000.00 Park Support Fee # $
Permit Fee $ 87. 2S- SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ 2-00 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit F~t' 1JJ1/#€7l- $ 40.00 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Feeulp'e: $ 4--0. UlJ TOTAL DUE $ It, ? 25
1?1 0 R-
This Application Becomes Your Building Permit When Approved Paid /fR9. 25 R~ ~60Z-
$~' U~ /Z/;S-~'l Date /2. /5: () 4- By . . .. _
Building. Ollicial 'bate
ThiS IS to certifY that the request in the above applical10n 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 Ccrl1fIcate 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
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /4/30 I3LU6{3/,AeO 7lcA/t..- /VE
NATURE OF WORK LOW6/f- 1--FY67.--
USE OF BUILDING I&GJ MIL
PERMIT NO. () 4-. /2 Z;:; DATE ISSUED / z. /5. 0 ~
CONTRACTOR j::::IeAT2/~ PHONE 445. 338 S-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
, ,
FRAMING /4P'r- 6/r~S-
INSULATION #,r 6/fG/pS
ELECTRICAL , ~/ ~/o S'
. PLUMBING ~ 6~p/~
HEAnNG (If required) ~ ~6/ 4'
FIREPLACE ~A ~~~oS-
GAS LINE AIR TEST ~ t!f6Jos:'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEAnNG
DO NOT
I I
t/ cp/of,
1/ )N-/tl6 '
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OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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This card must be posted near an electrical service cabinet prior to rough-In inspections
and maintained until all Inspections have been approved. On buildings and additions
where no service cabinet Is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/~/Jo
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
JiiIl!'PINAL
o SITE INSPECTION
DATE TIME
SCHEDULED I'~~
/f/v ~~j-/' ,/;'/
CONTR.
PERMIT NO.
.A-PLUMBING RI
A-MeCH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
~EPLACE FINAL
o GASLINE AIR TST
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~ORK SA TISFA", I VI'( t', PROCEED
~~~RRECT ACTION AND PROCEED
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o CORRECT W~~. L FOR REINSPECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl