HomeMy WebLinkAboutBldg Permit 06-0476
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
J Yellow Applicant
Date Rec' d
(p I ~. 0'
PERMIT NO. O~. 047{,
(Please type or print and sip at bottom)
ADDRESS
/'1 ;2. 7 I ])t!J ()~ (ld c..c,-}
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER ?&<.. +- ~r'~
(Name)
(Address) ILi?-i J De>u-c. c,VJ+ ? L.
BUILDER
(Company Name)
(Contact Name)
(Phone)
SS--S 7 :L
!<tOCjS~ e.,..S.J. :tAL.
D.e..f1 ',,'S Krt!"$~
tt ('11 l-8CAJ.eE \34 f.o\. ~ f
(Phone)
(Phone)
/VI J1J
(Address)
~~ v CA.<<=t-L.
TYPE OF WORK 0 New Construction ~eck o Porch ORe-Roofing
DAddition o Alteration OUtility Connection
ZONING (office use)
lei
PID zs- 3r.8. 012..0
(pf?.. ~ "'~ ~ 8'3?
t;)~':>?~
ORe-Siding DLower Level Finish 0 Fireplace
~T;.-J~S :Des',e.,.:lsn ~IZ. ~f.6
PROJECT COST/VALUE $ (=b~
(excluding land)
CODE: ~.R.C. OLD.C. D It"I~~~
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
I hereby certify that I have furnished information on this ap' . ation which is to the .best of my knowledge true and correct. I also certify that I am the owner or authorIzed agcnt for the
above- ntlOned property and that aU construction ill c ~ m to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official revoke this permit for ju _I ause FlIIt eby agree that the city official or a designee may enter upon the property to perform needed mspections.
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I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Contractor's License No.
Signature
NZ,otJo,oo
$ J'\. 7~
$ '-t 7 .q <<./
$ l.oo
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ~L k:> A
Paid I (fd-~ q
Date r G:> - S- f::>
This Application Becomes Your Building Permit When Approved
~ ~ re,(6f,/bf6
Building Otlicial
Date'
#
#
#
#
,,-~-()(,t?
Date
$
$
$
$
$
$
$
$
(o-,- b $ /2'2.. Ct,<J
Receipt No. of t./~
By /,;)
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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 Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
"
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 14271 OOV6 c::r. _ \
TYPE OF WORK OEelc (~t!Jrif>-l~ rr:-fZ- ~Wf1t.tzB ~
USE OF BUILDING /e6r I'f/IC- .
PERMIT NO. 0 ~ .6 +7" DATE ISSUED ~ . C . 0 (0
BUILDER ~9.s //4.0 etJN~ I K- . PHONE # "IZ.. S' 9. "e3(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
CTOR 'ATE
, FOOTING (P6p..c..t"f DES'6~e:t) . We . ,-1/6"
PLACE NO CONCRETE UNTIL ABOVE HAS BEE SIGNED
, FRAMING I I I
FINAL
ifW/
Gr li/~
i;\
FOR ALL INSPECTIONS (952) 447-9850
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED _/:. -II/-::a
ADDRESS /41., 7 ( O~~
OWNER CONTR.
PHONE NO. PERMIT NO. C-G/7C
[J FOOTING [J PLUMBING RI [J EXIGRADlFILLlNG
[J FOUNDATION [J MECH Rl [J COMPLAINT
[J FRAMING [J WATER HOOKUP [J FIREPLACE RI
~ULATION ~ [J SEWER HOOKUP [J FIREPLACE FINAL
INAL t [J PLUMBING FINAL [J GASLINE AIR TST
[] SITE INSPECTION [] MECH FINAL []
COMMENTS:
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~RK SATISFACTORY, PROCEED
~~RRECT ACTION AND PROCEED
. ~ORRECT WO~~C#OR REINSPECTION BEFORE COVERING
Inspector: pi' y r Owner/Contr:
I
CALL 447.9860 FO.R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI