HomeMy WebLinkAboutBldg Permit 05-0260
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
f/&(tJ~
I. White File I PERMIT NO
2. Pink City . /')~. 02/- 0
3 Yellow Applicant v..;.; . (V
(Please type or print and siKll at bottom)
ADDRESS
50 l.{ <is Po V\Js e-J..~ e...
iM
SE-
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID z5. 3qi:!. 0 Ie. 0
~=R~c-kJl~~
(Address) Sam.e"
ZONING (office use)
(Phone) q S-J - J;)6 - 0$9 \
BUILDER
(Company Name) \)(" \\W~
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction -Qeck o Porch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
o Addition DAlteration OUtility Connection 0 Misc.
CODE: ~.R.C. DI.B.c.
Type o~o~struction:
Occupancy Group: A B
Division:
I
E
PROJECT COST IV ALUE $
(excluding land)
F~Tl.U~. E fo (2...C~
30-a-0
I
:Des-IG tJG:D
I hereby certify that I have lilmished 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.mentlOned 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
:cial can ~iS DIe Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needqn:ec~s~ O~
Signarure Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
II
F
I
mIVVA
HIM R
2 3 4 5
B
S U
',--~f), 00
$ 6S I '2...S
$ 57,3G,
$ J, So
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTALDUE t~ 4. /_ (/5'"
This Application Becomes Your Building Permit When Approved
_~ ~ -i/~/05
Building Otlicial Date
Paid
Date
/ ~7-/ I
I'J:-. B.o r-
$
$
$
$
$
$
$
$
$ /'-17, II
Receipt No. ~119b
~
By
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 Certificate 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 ~~~r::~~D~:SPEcnON
INSPECTION
SITE ADDRESS soD ~~c9~ ~ ~E:. .D
TYPEOFWORK~~ I~.... ~'f1CH
USE OF BUILDING ~F;' 1>.
PERMIT NO. 05,[ 0 z& 0 DATE ISSUED .!l{ ill (J) S' .
BUILDER.ERic.. ~ I Nu;L . PHONE ~ -2Zi.- 2s-t I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
· D
~ ~ INSPECTOR JMTE",
~ FOOnNG I /~ I...s-p /~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
t
,
, FINAL
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,
I /
IS/I J/o(,
.
FOR ALL INSPECTIONS (952) 447-9850
. .
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~r ~~ech~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~SPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
r;"ECH F.II~N
P-e:-C-/C-
COMMENTS:
/'
/
j:,
/ //Z~
DATE TIME
SkJ~
, I
.. -~~ -e.
r/
s- ~C>
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
.
/
/
I
/
/
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L/
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( C--./ 00e--r/ (~/
~WOR~ORV_P~
/d--eORRECT ACTION AND PROCEED
o CORRECT WORK, C Ii EINSPECTION BEFORE COVERING
Inspector: r/Contr.
'(1
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSON..4L HEALTH cl SAFETY!
lNIlNOTl