HomeMy WebLinkAboutBldg Permit 06-0624
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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City
Applicant
PERMIT NO. 0(;. O~24-
(Please type or print and sil';n at bottom)
ADDRESS
Ikro f~\e _ ~~t Av€.c
~
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID zr. 90 2.. 1:10. 0
JkN'(JA f't. Y
13"CA..ft k.- C tp ~1L
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OWNER
(Name)
8e.~
J H:Po
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
4v<c
re
Date Rec' d
7(1~'otp
ZONING (office use)
K!lJO
(Phone) ~~6 IJs- </6 -1500
(Phone) ')..- 7o?~ R407
(~CIY'- VW (lei ; Mvv IS- rlJ?
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
,
ORe-Siding ~ower Level Finish 0 Fireplace
-:+~
.
~T7J'ILNnO~
'101 ODD
CODE: ~I.R.C. DI.B.C. o Misc.
Type of onstruction: 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
PROJECT COST /V ALUE
(excluding land)
$
I hereby certify that I have hlrmshed Information on 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
above-mentIOned property and that all construction will conform to all existing state and local laws and wlll proceed in accordance with submitted plam. I am aware that the building
:flcial can ~ke tillS perml for Jus~_~'(XrebY agree that the City official or /d~qb enter upon the property to perform nee7~i~(:0f>
Signarure Contractor's License No Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
~~ 7,. i.3~O(p ~/Z.9 ZSJ
rz..:7''2:5 Receip~o. - ~'qh 7
'1.J.U.I n ~ By 'jr-.
L/IJOO,QO
$ ., Z 7, "Z-s-
$
$ 2.., 00
$
$ 40,00
$
$
$
Park Support Fee
#
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~ ~J- 7/iJ (o(D
BuilulIlg OfIic'ial I Date'
Paid
Date
ThIS IS to certlfy that the request rn the above applicatlon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. TIllS 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 mllst be
isslIed
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
INSPECTION RECORD
SITE ADDRESS (.,000 ~€' c.~t:.t:."_ ft.tE". ~.
NATURE OF WORK I=itt.S tt_ i~ ~I
USE OF BUILDING S.F; o. _
PERMIT NO. 00. 002-4- DATE ISSUED ;?lAA C.
CONTRACTOR GIR~~ e,..,PNJV PHONEAi11-,..-elfo7
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
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
UGH - INS
FRAMI
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
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rwJ ..
yvy'J
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/
/
",7
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Af
Vllr
~;(/ A
M
cJf / fi) ~UJ
I
I.
)f
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~//J ~
ADDRESS
f(dttJ ~ ~d/
Co
OWNER
CONTR.
PHONE NO.
PERMIT NO.
{, rCl-y
o FOOTING
o FOUNDA liON
o FRAMING (f
o INSULATION
FINAL
~ SITE INSPEC
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
---- ----. -
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-
/ , -' l LJ;x- I/~ /
( ~ ~
'---. ~
-'-
ZWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~R~, CALL~EINSPECTION BEFORE COVERING
Inspector: 7//d / Owner/Contr:
1/ !t
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl