HomeMy WebLinkAboutBldg Permit 05-0486
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ADDRESS
ot)'3S
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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I. White File \ PERM T N 1
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ZONING (office use)
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LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID z5. /81. 05+.0
OWNER
(N ame) /i1.1J.Je / RJ/
~
95'~ --'l~t!) -":17/5
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
o Fireplace
~.
TYPE OF WORK 0 New Constr'l't.on ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish
OAddition (Y'lteration OUtility Connection ~ ~ .,.... r- ~
CODE: ~.R.C. OI.B.C. 0 Misc.
Type of ~stn1ction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F HIM R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have filmished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authotlzed 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 building
official can revoke this permit for Just cause Furtherm re, I hereby agree that the City official or a designee may enter upon the property to perform necded mspections.
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Contractor's License No.
Permit Valuation
Permit Fee
\ Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
v
Date
.if'2- 5"00.00
$ '?I. ?S
$
$
$
$
$
$
$
Park Support Fee #
SAC #
$
$
$
$
$
$
$
$
$ "'''.OD
I
I ,ZS'
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
I Other
I TOTALDUE ~ 5, -v1.{))'
This Application Becomes Your Building Permit When Approved
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Building Otlicial
o~74~
Date '
Paid
Date
'1u,P()
..5.-3 I... fJ J
Receipt Np.
By ~/~
H3Z,Q
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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
isslled
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
Planning Director
PRIOR LAKE :r~~~D~:s.,EcnON
INSPECTION
RECORD
SITE ADDRESS ~S ~UjJrl' ~r: rE I
TYPE OF WORK ~ j,.. -=-,..rr /S-I'()I DJ77tf'
USE OF BUILDING $ F: /). .
PERMIT NO. OS: 04gh . DATE ISSUED .sja'?(tJr
BUILDER l!1Mi1c#J PDlAJL PHONE#!lSZ-M-i',8:J'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN8PECTOR
DATE
I FINAL
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PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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FOR ALL INSPECTIONS (952) 447-9850
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CITY OF PRIOR LAKE
INSPECTION NOTICE
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SCHEDULED -r;Va::,
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ADDRESS
s~ 3' S-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ ~ULATION
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. 0 SITE INSPECTION
COMMENTS:
~
c~~r.ee'1
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~ORKS~y.PROC;ED ~
/d--~~RRECT ACTION AND PROCEED
o . CORRECT WOR~.:A;L VINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI