HomeMy WebLinkAboutBldg Permit 05-1060
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I () . 'LI J IJ t:r
) White
2. Pink
3 Yellow
File
City
Applicant
PERMIT NO. 05.IO~O
(Please type or print and siJUl at bottom)
ADDRESS
IloCjt? 13L-INh LAJ<E -!RAIL ~E
ZONING (office use)
R.tSD
LOT I hLOCK
LEGAL DESCRIPTION (office use only)
pet 4JC, 5t1Vf7-1
S ADDITION
OWNER
(Name) ~ IE A rJE. I I G
(Address) / lot) K? SL,nJ.
BUILDER
(Company Name)
(Contact Name)
(Address)
~/5r~oyY)
~U
PID Z 5: 01 7 . 0 ". ()
tJeu.. ,; ri.-. 7U'. Lt1t1 ,;,
(Phone) q~- '1t./7- 33~t/
flll-tlJrt.I U/t:.u m"
1
~
I teA JL-
~'31 J-
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ~Deck OPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection
CODE:~.R.C. DI.B.c. o Mi<r
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $ (,,~DO
(excluding land)
I hereby certify that I have filmished mformation on this application which is to the best of my knowledge true and correct. I also celtify that I am the owner or authoflzed agent for the
above-mentIOned properry 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
:clal can r~lt:~~ ~erebY agree that the CIty offiCial or a deSIgnee may enter upon the properry to perform needed mspectlOns
- ~ Signature Contractor's LIcense No. Date
This Application Becomes Your Building Pennit When Approved
'2_ t"'p"
~~O~ I~~~M
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
1,:Jaa;. () 0
$ 7...~. 7S
$ "'7,91{
$ 1.00.
$
$
$
$
$
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
I Builder's Deposit $
I Other $
I TOTAL DUE Mu-l!Z) /(). '2.(.IJS $ / z,z.. h'
Receipt No. ~ a<.J,; 11'/
By ~
Paid
Date
1:;)"'cl- "(0'-1 ~
ID - d- 1-')
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 Zonmg 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
INSPECTION
RECORD
SITE ADDRESS /tJ:; 9137 ffL-/N.D L-Fl/C.6 7J'U:1-IL
TYPE OF WORK oe;~
USE OF BUILDING ;e!Es A//2
PERMIT NO. OS. 10(,0 ' DATE ISSUED 10. Z/. OS-
BUILDER BOL0//~~ PHONE # ~47 _ 331-4-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DA1J: .
, FOOTING I IUfA I 1~/.2Yh)"-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
J FRAMING13t:j~. 1)fZ{'- &NW f~r- I
I
FINAL
-
1NV/
/.,.f, ) 7-0&
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS f[,ftr7 J!.i ~2 ~_ I~
OWNER CONTR.
PHONE NO. PERMIT NO. C-reto
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION;J eI ( o SEWER HOOKUP o FIREPLACE FINAL
~NAL ~ o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
DATE TIllE
COMMENTS:
~-
( / I
~Un
~
--
'" --.......
A'lL ')
~
~RK SATISFACTORY, PROCEED
o CORRECT A~TION AND PROC ED -
o CORRECT WOR C R INSPECTION BEFORE COVERING
Inspector: 1 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1NSNOn