HomeMy WebLinkAboutBldg Permit 05-0327
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File I PERMIT NO ~0
2 Pink City . (J 5 ,.
3 Yellow Applicant
(Please tnJe or print and siKD at b" .." _ _,. )
ADDRESS
\l~q ~~oa::1 Ct- 56
ZONING (office use)
LEGAL DESCRIPTION (office use only)
..-
LOT I BLOCK / ADDITION 1j)I}tJJ~-e. E..sr-~ Lj/AA PID d-Y 353- {)()I-'O
. v I
~Il~~
>-J .
OWNER AM
(Name) ~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone) ~~ 440 lP\So
~ ) <<ffO- 4'"flXJ
(Phone)
(Phone)
TYPE OF WORK 0 New Construction JDeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteralt OUtility Connection 0 Misc.
I hereby certifY that I have litmished 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-menl1oned p rty and that all constructIOn will conform to all eXlstmg state and local laws and will proceed In accordance With submitted Pla~s;~s~m aware that the buildmg
;cial can revo thi ermlt for JU~: (?aOr~herebY agree that the City official or a deSignee may enter upon the property to perform neede~ ~ I c&
( ~~ Contractor's License No. Date l
Permit Valuation ...... t~t!J r PO
$ /D3. DO
$ 'Co.'~
$ '2ctJ ()
$
$
$
$
$
pplication Becomes Your Building Permit When Approved
CODE: ImI.R.C. OLB.C.
Type of 6nstIUction:
Occupancy Group: A B
Division:
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~
Building Oilicial
$
$
$
$
$
$
$
$
$ /7/.'1s-
Receipt No. I.-/g ( ~
~
I
E
PROJECT COST IV ALUE $
(excluding land)
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 Cettificatc of Occupancy must be
issued
Planning Director
""
II
F
1
ill IV V A
HIM R
2 3 4 5
B
S U
Park Support Fee
#
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
4 /z.sAs-
" Date .
Paid
Date
/
I/}/~ Cfv
--1' - a-t:, -\fi'
By
.--
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
RECORD
SITE ADDRESS -17SGt, (tJ1>Ge- ~O.O a, CS.f'".
TYPE OF WORK ~. ~
USE OF BUILDING S F:' 1>.. .
PERMIT NO. DATE ISSUED JJ/21$/.r
BUILDER ~ . ~-n- ~ PHONE # .,.. -'''00
NOTE: THis Is'NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
q,,~ ~'~f I ffd I ZIU';s
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
d FRAMING I I
~~~
FINAL
~
;/ /'
7//3/o~
v
FOR ALL INSPECTIONS (952) 447-9850
:~
..
ADDRESS
/ ?0~?
DATE TIME
SCHEDULED ~~
/L~~ooj C/
CITY OF PRIOR LAKE
INSPECTION NOTICE
-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0'0..27
COMMENTS:
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
O. ~ M FINAL/
//J2C{C
o EXIGRADIFILLlNG
o COMPlAINT
o FIREPlACE RI
o FIREPlACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSUlATION
~NAL
o SITE INSPECTION
/'
/
&.' - I
{t/letl
I
f?Jl~
UlC-/
/ /"'-~ '\
(/1/ ?'( ))
\.UO~~ IF If'~ ./
~ORKSA~ DD~
~ ~ORRECT ACTION AND PROCEED
o CORRECT WORKjjff-"'R REINSPECTION BEFORE COVERING
Inspector: / PI ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
INSNOTl