HomeMy WebLinkAboutBldg Permit 06-0013
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~n at bottom)
ADDRESS
3/ 94
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. O~" Do/.3
/ In t} t: 121/1/ tJ {..;;:::
CIt20L~ N IV'
LEGAL DESCRIPTION (office use only)
LOT 3&BLOCK / ADDITION /1/0005 /fin-Ie t/f/I L-D5
OWNER
(N ame)
Po"-hn
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
ZONING (office use)
Pu'D
PID Z 5. 383.030. ()
8u Vl~V--
(Phone)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility Connection
ORe-Siding Jlfr--ower Level Finish
+ .e~1:5.
CODE: OI.R.C. OI.B.C.
Type of Construction:
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 Lj 7 - 2. qq 7
o Fireplace
I hereby certify that I have fllfnished mformation on this application which IS to the best of my knowledge true and correct. I also cerl1fy that I am the owner or authonzed agent for the
above-mentIOned property and that all construction w1l1 conform to all eXlstmg state and local laws and will proceed in accordance with submitled plans. I am aware that the buildmg
:"fiCial can revoke t~~~t:7~:~ermore, I hereby agree that the CIty official or a designee may enter upon the property to perform neede; m;;tl)lJ
- b
Signature - Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
4/ {)OO_ ()o
07 zs
Park Support Fee
SAC
#
#
Z_()G
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
40,00
Builder's Deposit
Other
40 00
6[{:.CiU M L---
TOTAL DUE
$
$
$
$
$
$
$
$ /OrJ
1$/7()_?L)
This Application Becomes Your Building Permit When Approved
~~
IJ
Rece/iJt No. 5i/ B 44
BYk, I
rJ
8uildlllg Ofticial
//~/o"
,
Paid
Date
/rJeJ 2,:;-
I 0 i.){.#
ThIS IS to eertiIY that the request in the above applicatIon and aecompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested. TIllS document
when signed by the City Planner coostItlItes a temporaty Certificate of Zonmg compliance and allows construel1on to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
6atc
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
.3194- Iln/JEA!W~t,F ~//t., .
NATURE OF WORK ~W~ ~ev~
USE OF BUILDING ~S"AC,
PERMIT NO. 0(,. O()/~ DATE ISSUED /. :3.~"
CONTRACTOR ~ PHONE -+47. 2-997
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
.
SITE ADDRESS
INSPECTOR
DATE
~ I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
lj'fS
I /
.2/ t!f Ia ~
, /
I
I
I
I
-J \;7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.
BUI~DING
ELECTRICAL
PLUMBING
HEATING
DO NOT
ph
/
I
-Y
OCCUpy UNTIL ABOVE HAS
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.
/ J
/ d's / ffl
I /
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J\'t4. ~__ ~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~ )_~SULA TION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE
'~6&
TIME
~ - OO{3
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
()\ ~11~()(/:
\../',~, ~ l- \ '-f./
~ WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORREC~ ;rLL FOR REINSPECTION BEFORE COVERING
Inspector: ( \) Iii /. ( Owner/Contr:
CAL:~Z 985~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl