HomeMy WebLinkAboutBldg Permit 05-1180
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3 Yellow Applicant
Date Rec' d
II. SO. OS'
PERMIT NO. 05.1180
'. . W~trF or p1nt and sian at bottom)
. AnDRESS' /fRZ 85 /IIo~ WooO ,e.O. NuJ
LEGAL DES,CRIPTION (office use only)
6 f . 7iJ
LOT B'LOCK ADDITION AlOte:1HNd7J 0
OWNER
(Name)
OrA u:J
(Address)
B~J;>J;;Jt
(~yNa.,e)
(Comact Name)
(Address)
ZONING (office use)
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PID Z5. /4-/. O}z.. D
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(bone)
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(Phone) (,tz 751'> ","-
(Phone)
TYPE OF WORK 0 New Construction Mbeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteratfoY OUtility Connection
CODE: JfI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
ill IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST /V ALUE $
(excluding land)
1 hereby certify that I, . shed information on this ap cation which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above.men110neg..,pfbperty and at all construction will nform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
otlicial can r.s:v6ke this permit ~ Just cause Further re, I hereby agree that the City otlicial or a designee may enter upon the property to perform needed Inspections.
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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
Contractor's License No.
$
$
$
$
$
$
$
$
/, Boo. " 0
/" 1. '2..S-
'1:S.7/
/llJ
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
#
#
Park Support Fee
SAC
#
#
Water Meter
Size 5/8"; I";
I TOTAL DUE
II
I /
~~t No,
C'
~B~:.nmng7:;:=
Building Oflicial Date'
Paid
Date
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Da~
$
$
$
$
$
$
$
$
$ //1. e l,
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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
..t
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS jt.,Z 85 /VdK--Y7'tWcrvO~,
TYPE OF WORK O~
USE OF BUILDING /U3T /1/ /C..-
PERMIT NO. OJ. Ill~() DATE ISSUED /130. OS-
BUILDER sr~l-I()eJ~r:-raJ PHONE # 61Z. 7sl.s+7t,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOrn DATE
I FOOTING I VI IV/I ~- )- '<rl
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
____ I I
I FINAL
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4-r4-rJ711
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nilE
SCHEDULED
Lf,-lfM
ADDRESS
/(PUr ~(.uAll_ f4I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
.s--"'((n)
o FOOTING
C FOUNDATION
C FRAMING
C INSULATION /) ~ J
~L I/'U(<--
C SITE INSPECTION
o PLUMBING RI
C MECH RI
o WATER HOOKUP
C SEWER HOOKUP
o PLUMBING FINAL
C MECH FINAL
o EXIGRADIFILLlNG
C COMPLAINT
C FIREPLACE RI
C FIREPLACE FINAL
o GASLlNE AIR TST
C
COMMENTS~
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~ORK SATISFACTORY, PROCEED
[J CORRECT ACTION AND PROCEED
[J CORRECT WORK. CALL F EINSPECTION BEFORE COVERING
Inspector: ! Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cI: SAFETY!
IItSItOn