HomeMy WebLinkAboutBldg Permit 06-0753
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8. /8.06
] White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0(,.0153
.
ADDRESS
(Please type or print and si~n at bottom)
/5018
1'11'1 /VI TO (/ ,e,() rl 0
LEGAL DESCRIPTION (office use only)
LOT /? BLOCK Z. ADDITION Jl4I9J!!J1(/ /I1/1.et!iI9~ /sr A.DON.
OWNER
(Name)
L../~AI~
,
(Address)
ZONING (office usc)
Ie/SO
PID zS. 2.++ _ ()()q. 0
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vAM6S A-NLJ &'ileA
(Phone)
BUILDER
(company Name)
(Contact Name) c.uef\~ l:cS> ~
(Address) lou..H LA 1$ I ~l>
x
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechamcal Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~ ~el\~<:~
*'
~. ~~ ~le1.
(Phone) 1 (,5 . 53 \ . 2Lfl..f-
(Phone)
eto&(~ ~c.'t: ~408
tJ.s. /t€/'7 ~ /J6t...&eS
..../ $
$
$
$
$
$
$
$
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6~ e<.'
if;: /Po
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Pressure Reducer
TYPE OF WORK 0 New Construction i'Deck OPorch ORe-Roofing ORe-Siding OLower Level finish 0 fireplace
OAddition OAltera. ~ OUtility ConnectIOn
~ 0 o Misc.
CODE: I.R.C. I.B.C.
Type 0 conr. n: I II III IV Y A B PROJECT COST /V ALUE $
Occupancy G up:' A B E F HIM R S U
Division: ( I 2 3 4 5 (excluding land) /
/ l J ~Jlm (.~ thIS applIcatIOn whICh IS to the bcst llf my knowledgc ttlle and collect I alSll certlty that I am the owner or authof1zed agc /
md t at I Cll rucnon will conform to all extst10g statc and local laws and WIll procced 10 accordancc with submincd plans 1 am awarc that
s JOe' lit fo us caus Furthermorc, I hereby agrce that the City official or a deSIgnee may enter upon the propeJ1y to pcrform ne~:pr'g'~ f) b
Contractor's License No. Dat~"""
"-
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE r~ 9t. SO . Oft;
This Application Becomes Your Building Pennit When Approved
///~ 6A
Paid
Date
10c" ..,.5
~~IJ
,
llulld1l1g Olficial
Date
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/
$
'$
$
$
$
$
$
$
$
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Receipt No. ~'Z..J.f I I
By Pr
//
ThiS is to ccrtify that thc request In thc abovc applIcatIon and accompanymg documents IS 10 accordance with thc City ZOning Ordinancc and may procecd as rcqucsted. Tll1S doeument
when signed by the City Planner CllnSl1tutes a temporary Ccrtifieatc of ZOning compliancc and allows Cllnstructlon to eommence. Befllre occupaney. a Certificate of Oceupancy must bc
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
INSPECTION
RECORD
SITE ADDRESS /5018 M'INlr"v ~
TYPE OF WORK De-U.
USE OF BUILDING /Z6f AIL-
PERMIT NO. aJ,. 0-,:53 DA~uED ,. I ~
BUILDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR J I DATE
~ FOOTING J/e%k ~ _lfJ JO/2"ld~ I I.Jl L~~ f/j) )qQ.~/tLJ
PLACE NO CO<NCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
DEPARTMENT OF
BUILDING AND INSPECTION
FINAL
~4 / /
ifl) 11'1/6~
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS } c;o 11/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
j FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
(/.A.~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
J Jf\ n,
C.' lo<<-~ k: LA'
'-. -
DATE
1#6~
TIME
II - 75'")
./
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
)f-wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE(;~RK' ~OR REINSPECTION BEFORE COVERING
Inspector: I ~ V / Owner/Contr:
CAlt:Jf~~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl