HomeMy WebLinkAboutBldg Permit 06-0110
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2. /~, O~
White File
Pink City
Yellow Applicant
PERMIT NO. {J~. OliO
(Please type or print and siltll at bottom)
ADDRESS
/7 3~o .t>~n..flG.a> ,D({, 5~.
lel.~ ~/aE', ~s-3' ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID~ 372,.._ tJJ(). 0
OWNER /) ~ r
(Name) KoN'At.i) ~h?tfiJRGAl2ff .:x!VVf}?rt-r
(Phone) 962- "tI?-bb /~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction DDeck o Porch ORe-Roofing ORe-Siding ~ Jwer Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection F
CODE: DB.R.C. OI.B.C.
Type of cl;nstroction:
Occupancy Group: A B
Division:
s: F; A.. .
I II III IV V
E F HIM
I 2 3 4
o Misc.
A
R
5
B
S U
PROJECT COST /V ALUE $
(excluding land)
I hereby certifY that I have furnished mformation 0 's application 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.mentlOned 'operty and that all construct' w' 1 conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can re thiS perm1l for ust cause Fl h ore. I hereby agree that the City offiCIal or a deSignee may enter upon the property to perform necded mspectlons
X ~~ " . Contractor's Ltcense No .:;..//,-.(:.t:
Permit Valuation :$, 6tJO,dU Park Support Fee # $
Permit Fee $ ?4 - 75" SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ /.5'0 Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ 40.00 Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other ElA::.-(!;j)U ~ $ /.00
Gas Fireplace Permit Fee $ - TOTAL DUE $ //726
This Application Becomes Your Building Permit When Approved
~ ~ -'1/"/iJ1.
Paid
Date
//7. Z.~
Z . /t,. of,
Rectejpt No. .50560
o
Building Ofticial
Date
ThiS IS to certifY that thc 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 temporaty Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
issued
Planning Director
Date
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
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I 732 0 .o6C/tha 0
NATURE OF WORK C {J(./c/<- LeVeL-'
USE OF BUILDING /C-t:f /t /--i
PERMIT NO. 0' .O//() DATE ISSUED 2. I&.(/~
CONTRACTOR <;" {yU 1114;::'5' PHONE 44 7. CdJ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
___~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
J
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
.
PLUMBING
HEATING
DO NOT
~
~~
~
OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
. .-
6/7/6'
t:;/7/ot;,
6/o/~ c
'?/;Y~
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
SCHEDULED ~~~
4er+Je/d
CITY OF PRIOR LAKE
INSPECTION NOTICE
/7 JAO
ADDRESS
OWNER
CONTR.
~ - //CJ
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
r:J ~TION
~~~L.
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
..a-1ftECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ORK SATIS Y PROCEED
/ d CORRECT ACTION AND PROCEED
o CORRECT WOr;~~~OR REINSPECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
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CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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