HomeMy WebLinkAboutBldg Permit 06-0481
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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(Please type or print and sip at bottom)
ADDRESS
1 While File I PERMIT NO rwtLtt.:2 I
i ~:71~w ~:;Iicanl . 0(, . VI /:/ /
/747(,
.ot;;.t;;,,eH~O 012-
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID zs-. 401. 04-(,. ()
OWNER
(Name) l/Q Iela s Ge eu Ii f
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) 17 i /7
(Phone)
ileA ~~~~0"
/)1"') ; I R.:. \r P Ai. k.
70k. PL. /1/ Ht:llk
ZONING (office use)
122.-
(Phone) {612 J 21 8 -3 () 'to 6
(Phone)
I-t' ,v -!i S' 2. t' I
GJc..()V..e
TYPE OF WORK 0 New Construction M'Deck o Porch ORe-Roofing
OAddition DAlterafuri DUtility Connection
o Misc.
CODE: J(1r.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
A
II
F
I
/
this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorized agent for the
will conform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the building
more, I hereby agree that the CIty official or a designee may enter upon the property to perform needed Inspections.
ORe-Siding DLower Level Finish
B
I
E
PROJECT COST IV ALUE $
(excluding land)
III IV
H I
2 3
V
M
4
A
R
5
B
S U
I hereby certifY that I have furnished Information
above-mentioned property and that all cons 'IC '
:ciaI can revoke this permit for J~US
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Contractor's License No,
/700.00
$- ~c.{.Oo
$ 4t.(.0
$ .8"C"
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
SewerlWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
o Fireplace
(!)6 ~06 ...O~
Date
$
$
$
$
$
$
$
$
$ I () 6-t...!Ir
rE:~~~JI:m,p:i ~D' ~ee:~'"
Building Otlicial ~e '
I Paid .tf; +-~
I Date . Ofl
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/J
.r;r. R ipt No. 5/S70
u. ,
ThIS IS to certifY that the request in the above applicatlOn 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 Celtificate 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
.....
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /7 47(, ()~~ O~
TYPE OF WORK Da:;c:..
USE OF BUILDING ;ees ~
PERMIT NO. 0 (p . (5 +8/ DATE ISSUED (" " . 0 h
BUILDER /J e/l PHONE # ~/c,.. 2-91. :ro46
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR ;? DATE
I FOOTING I IM// I ((1'( JAJV
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING 1 ,I
. u,~N / /
I FINAL " /1'tW- , b/,24 /()6
j
1
j
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/75//b
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTION
DATE TIME
SCHEDULED 44- (J ~6
hr~;cf ik
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o "H FINA~
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COMMENTS:
/
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~'Pl~ I
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
--
--
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(~/
\~/O~--e
"'" WORKS~ROCEED
~ECT ACTION AND fRU\..t:etr
o CORRECT WORK, ~~L;;:t REINSPECTION BEFORE COVERING
Inspector: .fl/ r-- Owner/Contr:
,
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CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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