HomeMy WebLinkAboutBldg Permit 05-0207
Lll r OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND 1.J IILITY CONNEL lION PERMIT
Date Rec' d
3 7..3. Or
(Please ~ or Drint and sian at l " ......)
ADDRESS
~: ~~ ~~y PERMIT NO. OS oz 07
3. Yellow Applicant
500<6
~ L\l~
\te.\~"'h
-tc-L
ZONING (oflice use)
PU.o
LEGAL DESCRIPTION (office use only)
LOT /8 BLOCK / ADDmON T/ntJt:7'e- ~r Pfl~
PID Z 5"". 4-0 z. 0 lB. 0
OWNER D
(Name) ll.\li,)
~Il \~S
~II-tt
. (Phone) qS). - ~bO - '~"\1
(Address) SOO~
W t',~\.~f
+.-L
BUILDER
(Name) ?~.J ,'J
(Contact Name)
(Address) 500 'I
1:( "" I,'.::,.
(phone)
(Phone)
'/6 Z - 96 D - /G'it3
P/
jJ / t/ f,c. /Jp ,~ It h
---
!I'
TYPE OF WORK.
o New ConslJUction
ODeck
OPorch
ORe.Roofing
ORe.Siding
OUtility Connection
o Misc.
~Lpwer Level Finish
/ R.Pl. ~ p,,~.
o Fireplace OAddition OAlteration
PROJECT COST IV ALUE (excluding land) sf 4{l)v . 0"
I hereby certifY that I have f\unished information on this application which is to the best of my knowledge lJUe and ~_..~_ I also certifY that I am the owner or
authorized agent for the above-mentioned .."w.. ;.nJ 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teruPO~/JA')I(l~I=~"""w._- '311/0>
xY"""un, Contractor's License No. ~ -
I Permit Valuation \ Z i 0 0 c> . 0 0 I Park Support Fee # ~ $
I PermitFee $ IE z , ?. s- I SAC # I $
Plan Check Fee $ Water Meter Size 5/8"; I"; 1$
State Surcharge $ / < 0 0 Pressure Reducer I $
Penalty $ City SAC and WAC # I $
Plumbing Permit Fee _~ 4-0.00 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other =-z....67!.-.7Jt-AL-- $
Gas Fireplace Permit Fee $ I TOTAL DUE I $
/00
)04. ZS-
This Application Becomes Your Building Permit When Approved
~ ~ :3/2-~/aS
I Paid
Date
/O~.7.(-
? 2~ ,.r
Receipt!joy 9" JOlLO
By~
;/
Building Official
Date
This is to certify that the request in the above application and accompanying documents is in accordana: with the City Zoning Ordinance and may .......J as requested. This document
when signed by the City Planner con..':'_._ a .............} Certificate of Zoning compliance and aUows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 bour notice for all inspections (952) 447-9850, tax (~5i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
',1(1
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUlLDING AND INSPECTION
SITE ADDRESS 500B {]Lt./I--;:::: l+c;fG;I-(f-.J TJt..-(.....
NATURE OF WORK LOi1J6--rL CEl/El-
USE OF BUILDING 12--C-:J' /fIlL
PERMIT NO. oS'.oz-o/ 'OATEISSUEO 3.Z~.OS-
CONTRACTOR ;:::Ai-IS PHONE qftO. 154-3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
I
I I
PLACE N() CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
..
INSPECTOR
"
/#' /- ,
~
~
~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEA I
DATE
/' ~
If/C?"!D~
~/f" ridS"
~/ flc:J5
t"/t" r /,0 y-
. I
~/t"/ /of
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
- ---
~
BUILQING
ELECT~ICAL
PLUMBING
HEATING
DO NOT
. ,
3/;2Z/G6
:i/;o/<,. ~
~ ...? /2 Z-hA
~ . s:/<- ~/&6
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
\
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
-.500 8'
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
COMMEN}S: I
~.~t
J/JI /.
/'" /Urt 6 /J-u;
- /
#7eb~.
,
/ /
/.::-: n <I /
/ -
DATE TIME
SCHEDULED ~~~~
, J.
~ffi~/~Jj 7//
/
~~7
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~..MBING FINAL
~H FINAL
~/
.-----:
/'-?kt /
.--< -
/-?4~ /
- ./
CJ~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-2 ~P~c:..
/ /
,
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e/C
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~ C _!CS-e /-;-/e /
~~RKSATISFA Y PROCEED ~
/0 cib....eCT ACTION ANO PROCEED
o CORRECT WO~ ~~R R~NSPECTION BEFORE COVERING
Inspector: / ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOT/