HomeMy WebLinkAboutBldg Permit 06-0089
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sien at bottom)
ADDRESS ,
J55~g- OraJLtZ- U(cl~
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK ,
OWNER
(Name)
ADDITION
C-r L1 G k-L,(
Ecvv
Date Rec' d
2 ,Y. () fp
nt,.,e wjn;tif/N M..I 07/
I PERMIT NO. OCR .OOer I
1. While File
2. Pink City
3 Yellow Applicant
ZONING (office use)
K4s.D
PID z5: 4/1. 0 ofo. 0
HOU\~ ~~
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BUILDER t... A D
(Company Name) , - , C<./) I<? '-1 0" J l'-he r <:\
(Contact Name) t-tICM LI6
(Address) ~ /12> Cl iH Q.-. Eu.~C<.A
\..J
TYPE OF WORK 0 New Construction ~eck o Porch ORe-Roofing
OAddition OAlteration OUtility Connection
(Address)
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
(Phone) 1051-C}Oq~ 1-ry~f5<;"
f/)n ~/U 0 -
(Phone) ic5J~~()q~' LJJ~
(Phone)
rnn '- t:)5.1 ri-CJ.....
ORe.Siding OLower Level Finish 0 Fireplace
o Misc.
A
R
5
B
S U
PROJECT COST /V ALUE
(excluding land)
sID:DOO. ()n
I hereby certifY that I have furnished 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 submittcd plans. I am aware that the buildmg
:Mn i~rLe for just ause. Furthermore, I hereby agree that the city official or ost:i mafirun ~he property to perform n@~ 3:~
Signature Contractor's LicenseNo. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
..........
Ii
$
$
$
$
$
$
$
$
! tl.,t:JfY' . ~
I ,~~ · ?-5"
I \ 7. ~~
S-. oe>
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
I WaterMeter Size5/S"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE~ z.../o.O(p $:30+~ 0&
Z 1 " '"' / . L./j,._-("1"'-
~ 0." VV? Receipt ~.'-"J 5 l)
.0- /C)~ By cf-J
Paid
Date
#
#
ThiS IS to certify that the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iSS~ y!\.~
Planning Director
~I <t J 't) to
Dlie
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS .15~?$
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA liON
o FINAL
o SITE INSPECTION
COMMENTS:
DATE
SCHEDULED 2Wa
Vt-,...Ju. f" ~
TillE
CONTR.
PERMIT NO.
G, - 00(59
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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X WORK SATISFACTORY, PROCEED
o CORRECT A ON AND PROCEED
, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
. Owner/Contr.
7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NS}I()n