HomeMy WebLinkAboutBldg Permit 05-1181
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/2. r;. oS-
White
Pink
Yellow
File
City
Applicant
PERMIT NO, 05_ / /'a I
.5 4/4 06EIU--/~D
~I /c'.u.b
ZONING (office use)
,R2..
LOT 7 BLOCK
LEGAL DESCRIPTION (office use only)
PID 25, 400, 067. 0
I ADDITION
BUILDER I --- r--..
(Company Name) \ O~ C\J1W"OLt::>
(Contact Name) --ro~ t::.:\J^\lOu:>
(Address) ~IO MM,.J $'1': gtJi /44
I
OWNER
(Name)
RAN~I
(Address)
f} 66teH 6 LI:) q 771
~OHNSt)N
(Phone)
Q5;J. - llL{7 - _5 (/ ~
Co N>r-RV C/7l'N
(eLl-
(Phone) G / ~ - :2..::2 I - II ~ ~
(Phone) 5tr7 - c,~ 4: - 0 1(0
NER~h.1 MN
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding . MIlower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection r
CODE: DI.R.C, DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc,
I
E
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hcreby certifY 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 tc)r the
above-mcntloned ropcrty and that all construction will conform to all existing state and local laws and will proceed in accordance with submittcd plans. [am aware that the buildIng
otlicial can ev for Just cause urthermore, I hereby agree that the CIty official or a designee may enter upon the propel1y to perform needed Inspections.
X '- a ~ I ~ - $- OS
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Signature
Contractor's License No,
Date
4, O{)O. IV
$ 87, z~
$
$ 2.0 0
$
$ crtJ. trO
$
$
~
Builder's Deposit
Other
$
$
$
$
$
$
$
$
$ /2 9. zS-
Rec~No, ,5[JiJU
a.y ...-J-..
U
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
Iz9zJ
/2, c,.o('-
Building Otlicial
Date
ThiS IS to certifY that the requcst in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. ThiS document
when signed by the City Planner constItutes 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
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~ DIlL
NATURE OF WORK
~~~~~ ~~.LDIN~.s. ,II! 1z.J. .S-
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDJNG AND INSPECTION
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
...
1;1IV/
1M) J
;M7 I
1-
COVER NO WORK UNTiL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
El'ECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
- /l
tILl'li:J'~
//L..7~6
1/2- -z(JDC
//.2-7/0 t.
(
UNTIL ABOVE HAS BEEN SIGNED
NOTICE
~
~
~
This card must be posted near an elec'rical service cabinet prior to rough-in inspections
and maintained until all inspections ~ 'lve been approved, On buildings and additions
where no service cabinet is available, c<~d shall be placed near main entrance,
FOR IH) INSPE':TIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE _/
INSPECTION NOTICE SCHEDULE'/7{ Oft.G
ADDRESS ~~/t/' /kf?rT;efc{ 4,)..-
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:. ~
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o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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AORKS~CTORy.-PROCEED ~
---=:::::::
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o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl