HomeMy WebLinkAboutBldg Permit 06-0228
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4-. 3,ofo
I. White
2 Pink
3 Yellow
File
City
Applicant
PERMIT NO. 0&.0228
(Please type or print and sil!:n at bottom)
ADDRESS
/fR2Z 7
/ T71SeA /il/~NVC/
ZONING (office use)
,e./
LEGAL DESCRIPTION (office use only)
LOT/BLOCK Z-ADDITION d,e-e'l)/c:.,.il//u.-b rPf4.,.f G 7!..-f
pm Z-S_ IB7 U2(0
OWNER ~A-11
(Name) ~J.
If)/VIi....
(Phone)
Id~ - '6 J 0 - <6~1 '7
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
11
TYPE OF WORK 0 New Construction Mbeck OPorch ORe-Roofing
OAddition OAltera~ OUtility Connection
CODE: ~.R.C. DI.B.c. 0 Misc.
Type of ~stroction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST /V ALUE $
(excluding land)
I hereby certifY that I have filrnished mformation on this application which is to the best of my knowledge true and correct, I also cettifY that I am the owner or authOrized agent for the
above-menltoned 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
otlicial can revoke this permit for Just cause Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspectlOns.
x , Date ~/'+I~'
Signature ~~~ Contractor's License No.
~
Permit Valuation # 3~ (J (), cJ'O I I Park Support Fee # $
Permit Fee $ FiP>>. ZS I I SAC # $
Plan Check Fee $ 5'7.3(. I I Water Meter Size 5/8"; I"; $
State Surcharge $ I.~o I I Pressure Reducer $
Penalty $ I SewerlWater Connection Fee # $
Plumbing Permit Fee $ I Water Tower Fee # $
Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ I Other $
Gas Fireplace Permit Fee $ I TOTAL DUE $ 1'-17,11
This Application Becomes Your Building Permit When Approved Paid J"i JIll Receipt No. ~7
~~ ~/?/Ofo Date 1/J1o" By '!J
{ [
Build1l1g 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
whcn signed by the City Planner conslttutes 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 DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS / /" Z Z 7 /Tlfs ~ /rV6'.
TYPE OF WORK 1/ eve
USE OF BUILDING /ZGT ,ff/,Ie.--
PERMIT NO. 0& , 0 ~'b8 . DATE ISSUED 1-,3, 00
BUILDER I7HeK..... PHONE # (,/ Z; 8/ O. B fo+-7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING I IN/#--_ I f1;i~-b
PLACE NO CONCRETE UNTIL ABOVE ,HAS BEEN ~lpN~D
I FRAMING I YM I i Iff) lob
,.
, FINAL
4-
/ /
I 2f11/Q~
I I
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/6~.z7 f~SCA
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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/'
/
Ut{'
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~6
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TIME
~-py
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
------=------ ..::----
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(~/6SI? ,/'/ ~/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ./W JOwner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIIOTl