HomeMy WebLinkAboutBldg Permit 06-0152
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3, 1+; tJt:;;
z..7"z-
(Please type or print and sign at bottom)
ADDRESS
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Pink
Yellow
File
City
Applicant
PERMIT NOOt.P . () I ~Z-
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Ax
711'/ L-
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ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID2~. 385. Oz./.O
OWNER
(N ame)
(Phone)
(Address)
(Address)
L'^- S l' c...
KA ~.e( c"--
+~ At l
(Phone)
(Phone)
LAt-Pv dJo{
If? 12- .177 -~e '2!L~,,-)
B~DER\ .
(CompanyName)-C,~vr1 to 6c.J 0-;r~'S~tA~'{l)V\.~C_
(Contact Name) ~ \ K~
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I VA. KJ
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TYPE OF WORK 0 New Construction DDeck o Porch ORe-Roofing ORe-Siding pLower Level Finish 0 Fireplace
DAddition o Alteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST /V ALUE $
(excluding land)
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 authof1zed agent for the
above-mentIOned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
:cial can ~for Just:. llthermore, I hereby agree that the my officia12;~f:ay 7:;:; t~ropelty to perform needc~:;:)4 _ 0 ~
". ( - t Signature Contractor's License No. Date
Permit Valuation I, 6fJO.()O Park Support Fee # $ I
Permit Fee $ .34.7.0 SAC # $ I
Plan Check Fee $ Water Meter Size 5/8"; 1"; $ I
State Surcharge $ ,.(7) Pressure Reducer -L -I ---'
Penalty $ Sewer/Water Connection Fee # $ I
Plumbing Permit Fee $ Water Tower Fee # $ I
Mechanical Permit Fee $ Builder's Deposit $ I
Sewer & Water Permit Fee $ Other $ 1
Gas Fireplace Permit Fee $ TOTAL DUE $ .:3 5. zs- I
/I
~rF
This Application Becomes Your Building Permit When Approved Paid 3~-, 2 J Re46Pt No. ~ 1158
Date 3. /c.I. oc. B~.
, 0
Building Otlicial 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
isslIed
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 3~~ (p :3 I~OK 7?1t t-('~,
NATURE OF WORK L 0 V/EJL L-CVt:---Z- - / /C./-7j
USE OF BUILDING /Z{;/ file
PERMIT NO. () to _ () /5"2- bATE ISSUED 3. /4.0 b
<:;, .
CONTRACTOR f7J757JD '/7) Gc) PHONE !#/Z. 32 7 In 679
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW /
THE PERMIT IS BY SEPARATE DOCUMENT
.... I
_1)1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
, .
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J
I
I
-'<P
~J~,J(J/
, ~'
HEATING (if required)
--=
LPG
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~~~
. FN-I~~
BUILDING
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Po
I
.c;h/IJ q
, f
HEATING V
DO NOT 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 avaitable, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS -S ( ~ r.., ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ 1NSULATION
FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED ~~~
~~,..( Tr
TIME
CONTR.
PERMIT NO.
&'-/57
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~-Io~.~
jz(WORK SATISFACTORY, PROCEED
/'0. CORRECT AND PROCEED
o CORR T WOR ALL FOR REINSPECTION BEFORE COVERING
Inspe r:
Owner/Contr:
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl