HomeMy WebLinkAboutBldg Permit 06-0301
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvJJe or print and siKJl at bottom)
ADDRESS
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I. White File
2. Pink City
3 Yellow Applicant
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LEGAL DESCRIPTION (office use only)
LOT z'BLOCK I ADDITION e~S7WooO 2A1o AfJON.
OWNER ~ ~
(Name) ~ D n ~ "" ~.i' '. ~ t'
(Address)
7-. .r ~ :"'r"b ct. ~ '^
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(Phone) CfSd. - 4LtD - ,?S; ~~
BUILDER t
(Company Name)~ \ r ~? tot ("'/- ~..(l ~ \
(Contact Name)
(Address)
(Phone)
(Phone)
Date Rec' d
4-. Z.tf. () '"
PERMIT NO. Oft, . 0301
ZONING (office use)
Ie 15..0
PID Z5. 2.~5^ ooz. ()
TYPE OF WORK 0 New Construction ~Deck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlterat~ DUtility Connection
CODE: '5ClI.R.C. DI.B.c.
Type of &nstroction:
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 IV 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 authonzed agent for the
above-men lion pro 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 building
o' ke 't for use FlIlthermore, I rebya that the city official or a designee may enter upon the property to perform needcd Inspections.
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Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
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Contractor's License No.
Jf30tJ/9,. 00
$ 88.2.5
$ S7..3ca
$ r. s-o
$
$
$
$
$
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
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~~
Building Otlicial
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Date
# $
# $
$
$
# $
# $
$
$
$ J '17,/ ,
Fec !l;?t No. S/z,s9
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ThIS IS to certify that the request in the above applical10n 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
'0/
PRIOR LAKE
INSPECTION
RECO.RD .
SITE ADDRESS ---'!{8!iiJ ~ ~~,. C/Mg
TYPE OF WORK ~IIJ l:J6!!::/L
USE OF BUILDING S:P:D II ~Il
PERMIT NO. Ore,. 030/ . DATE ISSUED !lilY/'ll
BUILDER Ji"~ IWII.iT~H PHONE". .,.,.-lA'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTO~ PlrE /
, FOOTING I ,/Jt1--- I Y/~5/~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
-. .1 1
FINAL I /Ivi- I ~~rl'o6
Call between 8:00 and 9:00 A.M. for all inspections t '
FOR ALL INSPECTIONS (952) 447-9850
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/~?90 ~~/~e
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
~NSPECTlON
[J PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
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COMMENTS:
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~~/
.
/
/Yfc-
DATE TIME
~Pt~
~/ CJ-
~ - 3"/
[J EXIGRADIFILLlNG
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLlNE AIR TST
[J
----
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. ~RKSATISF~y.PROCEED ---
~RRECT ACTION AND PROCEED
[J CORRECT WO~. ;~.rR REINSPECTION BEFORE COVERING
Inspector: /' ~ ~ Owner/Contr:
II"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/N$NOn