HomeMy WebLinkAboutBuilding Permit 04-0439
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom)
ADDRESS
3310 tJ /I LJrj I{ sr.
S. /3. 04-
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City
Applicant
I PERMIT NO. 04'-, 0+39
ZONING (office use)
Je,/
LEGAL DESCRIPTION (office use only)
LOT f BLOCK 2- ADDITION SVNJeI H/tA.,-5
PID zS-. /72.-. 001.0
OWNER \
(Name) VI ~ I (\1(;
(Address)
~hlIS
(Phone)
GINA./U
flL::" ,7
q 52 1./10' 52:f.'J/o
72-7. 74--3.2-Ze7
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
ower Level Finish 0 Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility Connection 0 Misc.
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
II
F
1
III IV V A
HIM R
2 3 4 5
I
E
B
S U
PROJECT COST /V ALUE $
(excluding land)
I hereby certity that I have hlrmshed mformation 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-menl1oned property and that all construction will conform to all exisl1ng state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
official can re oke thiS permIt for Just cause Furthermore, I hereby agree that the cay offIcial or a deSIgnee may enter upon the property to perform needed mspectlOns
X W ~G~
~ Contractor's License No. r5ate
Permit Valuation 4,000.00
Permit Fee $ 8/. z.S
Plan Check Fee $ -
State Surcharge $ 2.00
I Penalty $
Plumbing Permit Fee $ 4000
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~~
13uildll1!! Ortlcial
S-;/7~i
, Dale
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other ~ L.6C TJ24 CAL- $ 1.00
TOTAL DUE s,J7 ,,0 V $ 130.25
ThiS IS to certify that the request 10 the above appheal10n and accompanymg documents is 10 accordance with the City Zoning Ordinance and may proceed as requested TIllS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
P R I 0 R LA KE DE;PARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~/O RA1S~ [Jr.
NATURE OF WORK ~, L~ kl~('!1 ~ F'//tJ;.rH
USE OF BUILDING · ·
PERMIT NO. tt.- 0 ~ DATE ISSUED S 7
CONTRACTOR' PHONE ~2.W~-S.3<<,
NOTE: THIS IS NOT A PERMIT OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT C4Z~ - ,Z7. ?~~. ~Z.87
INSPECTOR
DATE
ACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if re
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
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, cafd shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850