HomeMy WebLinkAboutBldg Permit 05-0634
15:23
CITY OF PRIOR L8KE 9524474245
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
/'41 BC?
P,01
Date Rec' d
/'
1. I . 0 j
~ ~';' ~::y I PERMIT NO. (JS- O~34- I
) Y.II~w ^llIlhc>nl
NW
ZONING (<llJlce u,e)
lei s:.o
WOOD
v-I()~ 77eA I L-
LEGAL DESCRIPTION (office: U5~ only)
LOT /C,BLOCK 4!- ADDITION
Wlt.-l/S
OWNER ~
(Name) IOU!JL1:j QUIST;
(Address)
BIe/-K:._ <'
lli"-- -..
BUILDER
(Company Name)---.lt-o('iV_ 0 Lo~--:-
(Conrac[ Nllme) _
(~ddfC.'iS)
IVO,e:r?f
Pro ~6 4'04. ()fcl. 0
GhonyCC5~ - ~ '(b- 2-75<6
J::8 t- t.- /
(Phone)C(5~'\.{C(6 - 27S~
(Phone)
"
TYPE OF WORK 0 New ('ollstrueli~~. )(Deck Ol'orch ORc,Rooling ORe.Sidin/:
DAddilion OAICr.ralion DUtility Cllnneclion 0 Mise,
J l1\'rd>y cerlify lh~l I hllvc fmlll~hct1lnf()r"'Mion lIn thi~ applicalion 'l"hich i.1 In Ihe he" or my knowledlle lTllC ~nd correcl. I nbo ceniry (hM I nm ,h~ lIWnl'r Clr aulhnnzl'(t lIgent (or the
a~lwc.mcnIJoncd llrOlll'flY Me! 1M! nil con~ITllc(ll>n ....iIl conform III 311 eXI$lInS ~IMc and locallaw5 and will procet'd in ~eellldl\nce IIIhi'l .tllbmilled plans. I am lIwarc rhalthe buildins
11l1ki~1 cm rcVokl' IhLt J)I'nllll for JUS! l'.'''~C I'IJrrhtTmorc. I hercuy agree Ih~t the cuy omcial ur ~ dellgnec m~y enler lIpolllhe IlrOptflY III rt...corrn needed In:<pcclllln~
~ --- -----" \ 5' ~
..: ~alUr0_.__._ -"".'.-- ConlraClor's U,ense No,
CODE~. ,R,C, OI.B.C,
Type: of lstmction:
Oecup cy Group: A B
Division:
I
E
II
F
1
III IV
H T
Z 3
V
M
4
x
Permit V-';'iuation
Permit Fee
Plan Check Fee
Stale SUrdlar~e
Penalty
Plumbing Permit Fcc
t eo
e8,~s-
S7, sCp
,~C)
$
$
Mechanical Permit fee 1\
Sew~:r & Water Permit Fee $
Gas Fireplace Permit Fee $
Tllis Application Decome~ Your nuildj~Pcrmll When Approved
~ 7~~ 7/(los-
13uildilll Ufliciill _. I f)nl~
A
R
5
DI-ower J.e-vel finish 0 Firepl~ce
raOJECT COSTIVALUE 5 3r<j:~..&r-~-
(excluding land) \-
n
s u
Park $upporl Fee # $
SAC # $
'''Water Meter Size 5/9"; ) "; S
f----.. $
Pressure Reducer
-
Sewer/Water Connection Fee #l- S
Water Tower Fee # S
Builder's Deposit S
Other $
... J t.f7. [ (
TOTAL DUE $
712f~
H;ce;~ Iff 75/f
I Paid
Date
ThiS I~ III certify rh3t lne req\1C~l in rho ~b<.I"(' al'l'lic~(IO" ~n~ ~eellmJl;t1~'ng dMum.nt~ i. in noco,dnn<~ilh ,I.e City :z.ltIinS Ordin.nee .nd m.lY 1',oc~<<I ,'~ ''I:",IC~'C''. TI,i~ ""C\lmenl
wlWn .<itncd by rhe Cily Planner Clln.\lItLlrc.\ .1lf'm1"c)tn.y C"l'lljfjcnle or Zonm~ compliance Ma 3Ih).... con.lrllcllun to CO"1ml'ncc. BC(llrc llt'ellpnncy. a CCtllliearc Ilr OeC'lIl'nncy rnll~t be
ic~ued
PIBnning Dircclor
RECEIVED TIME
Dale
,A I,~.... or"'" r~~ ~n inSI'rttl<ln~ (9~2) 447.91l~1I. fAX ("!l2) 447.424~
APR. 14.!(J 3: 09 PMcek Avenue l'rior Lake, MN 55372
Special Condi[il'ln~. if art)'
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /4/66 WOOD eHV~ ~
TYPE OF WORK /Ja~
USE OF BUILDING ;ze:r ff"/e-
PERMIT NO. a5- O(P34- DATE ISSUED 'l/. OS-
BUILDER yocJNq QUISt PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~. f6DAte i '
, FOOTING VV'\1>\\ i111-}'L( We..)~ I /~/I~/lJfJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
t- _If fiv'1- I ~--h I ~ -1;/ ~
I FINAL I fl tJ::> I ~~ V
FOR ALL INSPECTIONS (952) 447-9850
~
,1 ~;,
QJA.~j~l<__~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS -tiJ 8 G,
W6~1.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATJqN /
INAL J,l<L l
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
TIME
j- (. ? Y
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
C-~OS<- tk ~. ~
~(Ck jd\1
~WORK SATISFACTORY, PROCEED
o CORRE ION AND PROCEED
L FOR REINSPECTION BEFORE COVERING
Owner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
1REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!