HomeMy WebLinkAboutBldg Permit 06-0126
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2, ze,o(o
I. White File
2 Pink City
3 Yellow Applicant
PERMIT NO. Ou . ()/Z (p
(Please type or print and si~ at bottom)
ADDRESS
ZONING (office use)
Jel
3017
BdCerrT
LEGAL DESCRIPTION (office use only)
PID 25. 3132.. 07+, 0
LOT
BLOCK
ADDITION
LT,J
OWNER
(Name)
j. f~ - Y-4t-~--Sc~-~O
-ZHL
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
o Re-S;d;,g }~w~~ _ 0 F;repl,~
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition o Alteration OUtility Connection
o Misc.
CODE: DI.R.c. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S U
I
E
PROJECT COST/VALUE $
(excluding land)
I hereby certify that I have fbmished mformation on this 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-mentioned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
Officia.1 ca.n re~1ke. this permit tor Just cause Furthermore, I hereby agree that the City official ora designee may enter upon the propelty to perform needed. mspecl1ons.. 6-
X /?-, ~ I' L I' Ir- ~ -.:2-8 - ;J.-.:J-V
./ Signature Contractor's License No. Date
$
$
$
$
$
$
$
$ /.00
$ //7 zS
Park Support Fee
SAC
Permit Valuation
Permit Fee
3,000.00
$ 70/.7S
$
$ 1.50
$
$ 4--0.00
$
$
$
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
~~ &It/--
TOTAL DUE
/1
Rece)fiNo. Sll~
BI /
/17. Z,S-
I. "', i (,
;z:::~r:-WngP;:;::'d
Buildllljl Oflicial ' Date'
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
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 ...3O/q 13013 (!AT 7X-
NATURE OF WORK LtJW6JL t-a/f::;L-
USE OF BUILDING /Z-Gf A-'//L-
PERMIT NO. ()~. 0/2- Co DATE ISSUED Z. z.-&~o (p
CONTRACTOR LIJ PHONE ?-45.533o
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I ,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
_ /"l
I /
;;/ ~i/ bb
I I '
I
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
WI
/
I
I
1>
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
]
:
BUILDING
ELECTRICAL
PLUMBING
HEATING
I DO NOT
j
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~
TIME
ADDRESS
)0 ('1 13LtrJ
OWNER
CONTR.
PERMIT NO. ~ - 12(,
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
S ~NSULATION
p.cINAL'
o SITE INSPECTION
COMMENTS:
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
-g~ ~kl,J A
. ,
~- )
c7F- J v
~-
- I . }
\-\-~' ~ ~
~ORK SATISFACTORY. PROCEED
o CORRECT ACTIO ~ AND PROCEED
.
o CORRECT. ~OR REINSPECTION BEFORE COVERING
Inspector: ) Owner/Contr:
50~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl