HomeMy WebLinkAboutBldg Permit 06-0563
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Pink
Yellow
Date Rec' d
Fife
City
Applicant
I PERMIT NO. ()(P-50 3
(Please type or print and sign at bottom)
ADDRESS
/ 75'00 Oee~~ (J Id
Dr ~ Ie.
LEGAL DESCRIPTION (office use only)
Lo0 BLOCK I
OWNER
(Name)
fJreo,
-J
/7.100
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
~
.
/ {d e~lyd('f2Jsi!^-
i/a f(';G~\tt moll
()P'''J'~ ~ ek'J f)riVe.,
(Phone)
ADDITION
OR. HOr+O{)
(Phone)
(Phone)
ZONING (office use)
PlD;)S ~t/;},. '-/ - 003-0
9.5"d--;2 37- 3oiJ-4
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
DAddition OAlteration OUtility Connection
ORe-Siding ~ower Level Finish
\- G l ,
ljtFireplace ('2....)
t ,.. I _ _,
~ I ~.(aUCf
CODE: ~I.R.C. DI.B.c.
Type of cf~strnction:
Occupancy Group: A B
Division:
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o Misc.
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
plication which is to the best of my knowledge true and correct. I also certify that I am the owner Dr aUlhonzed agent for the
on form to all eXlstmg stale and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
e. I hereby agree that the City official or a designee may enter upon the propelty to perform needed mspccl10ns
"-....--'
Contractor's License No,
'#'!dIJIJ. do
$ WI.7-S'
$
$
$
$
$
$
$ L{0,(J0
Park Support Fee
SAC
Water Meter
Size 5/8"; I";
2,00
Pressure Reducer
Sewer/Water Connection Fee
~O,fJO
Water Tower Fee
Builder's Deposit
Other
e,/Pr ...
TOTAL DUE
This Application Becomes Your Building Permit When Approved
.~ ~ fc/2.3(06
Buildlll,g Ofticlal Date
Paid
Date
.-
/'/tI'Ol.:.;
(~.- .&-- ~... 6_
Date
#
#
$
$
$
$
$
$
$
#
#
$ I . (JO
t I ~ q~r
I/}O, ?-}---e;-
I Receipt NaSI? 5Er
IBv ~
ThIS 1S to certify that the request in the above applicatIon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a~ requested ThIS document
when signed by the City Planner CllnStItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Befme clCcupancy. a Cerlificate 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
PRIOR LAKE DE;PARTMENTOF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS I'7St/JO .1J/!tlt. nrLlJ l:Y2iJ/&
NATURE OF WORK ,"ilL ~)JI"s-,., ~/f=;A ~Ne",1J17 It" .~
USE OF BUILDING ~ ~/","- UM!L
PERMIT NO. ~ ,.-.5bs _ DATE ISSUED -U '/ 2 3/11"
CONTRACTOR 6""'" I'- eA7Zlc;A MILL. PHONE''''.'' 11'- .1,,"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
, . /
FRAMING ~
INSULATION ~$
ELECTRICAL
PLUMBING ikrShi~.J; Pf VAG /f#
HEATING (if required) , ~ .
FIREPLACE 1,..4.. ; "~/)J U'UfI., A ~/;' D.-gA <?h
GAS LINE AIR TEST ~;;I iltI
- -
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/ /
~c?o~~
? /2.o~6
7~~1)~
?; &V~
I .
7/C"4/c6 /
/-rL, ~~"-
7;19~ ..
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/ /
?'/ f ItIIf
I f' /S 7t!tJ I
~. '?A~G
//4 ~A/ot,
OCCUpy UNTIL ABOVE HAS' BEEN SIGNED
NOTICE
/7
~
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
SCHEDULED ff~ n.,
~e4// d
COMME~TS: / / C. A
he-e. -S'~d~<9 +;l~ (f"mu-e
:4t ~, ~C/-er~A ~p~~~
~;?h:.- ~~( ~ /'11/20
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7J?J~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,)J1'=INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
~ECH FINAL
~-.~f
o EXIGRAD/FILLlNG
o COMPLAINT
..$"BBRPLACE RI
~IREPLACE FINAL
o GASLlNE AIR TST
o
,-
~
~
C;;/C
./
6/C
/
c0/C
/l y/
/~//ci.H~
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( c./ltJ.S-€ f; re )
~WORKS~l..lo:-:\,.r~
~ CORRECT ACTION AND PROCEED
o CORRE~~ ~~"~'~~-~R REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
~/
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INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!