HomeMy WebLinkAboutBldg Permit 05-0786
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2ll at bottom)
ADDRESS
DOVv
/~397
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
Pav1J d 13>. f"ovs~n
/'fJq7 /Jove eft Ale
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
1. While
2 Pink
3 Yellow
File
City
Applicant
vr
(Phone)
(Phone)
(Phone)
,.
o New Construction Xibeck o Porch ORe-Roofing
OAddition OAlte~ OUtility Connection
o Misc.
TYPE OF WORK
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
III IV
H I
2 3
V
M
4
I
E
IT
F
1
A
B
Date Rec' d
5,/2,05"
PERMIT NO. Os. 078"
ZONING (office use)
PID Zo. 3'G8. 0/9. 0
&::Jb2- <fo3- 9S~1
ORe-Siding OLower Level Finish
o Fireplace
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have fi.lrnished 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-mentlOne ropelty and thai all con -uction 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 re ~hi~it ~c e. Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed m?~.~/ () S-
Signature Contractor's License No. , Date
Permit Valuation -2772 CoCII
Permit Fee $ w.~'" I
Plan Check Fee $ ~ ~ Jc. I
State Surcharge $ /,,so
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
/#'~ ~z/os-
Building Oflicial
Date
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
/ .,~/ I
~ /~,t;J'
# $
# $
$
$
# $
# $
$
$
$ /y~r
ReceipjNo. HB,r
rr
ThiS IS to certify that the request in the above applical10n and accompanying documents is in accordance wilh the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner conSl1tutes a temporaty 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 DEPARTMENT OF
BUILDING AND INSPE" ..ON
INSPECTION
RECORD
SITE ADDRESS /4397 .o()V6 CT
TYPE OF WORK Oer~ ~
USE OF BUILDING /Z6f ,A//e-
,.
PERMIT NO. 05. () 78(0 DATE ISSUED e((z"OS-
BUILDER 7OVft5N PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FINAL
I FOOnNG I Vf'l" I DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,
, FRAMING \,IJ c.... I Ii} '7 - (, -et, ~
,; ,~
I?
FOR ALL INSPECTIONS (952) 447-9850
I Lt .J,~.Ob
I
l
J
.
.'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS .J 4 '?>17 'Cb! f..P Q +
OWNER
DATE TIME
Ct/Z.l/ac".
f I
PHONE NO.
CONTR.
PERMIT NO. c; - 72 C.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
..E)_~~~LATION 0 SEWER HOOKUP
~L 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ]).e.c ~
--
\ . ~~Jt'\A tJ~ t ~ A
~
..--
Q \~ --~t{ e..
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
Jt.CORRECT ACTION AND PROCEED
o CORRE7Jl CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CA~ ~ 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY I
INSNOTI