HomeMy WebLinkAboutBuilding Permit 05-0675, 05-676
CITY OF PRIOR LAKE
16200 EAGLE CREEK AVE SE
PRIOR LAKE, MN 55372
(952) 447-4230, FAX (952) 447-4245
RECEIPT # 49807
DATE: (. 15.05"
Received of
the sum of
for the purpose of
Cry rr-;( P L-
v if
$10.00
7>-'/ 05"
P f () ~ ,
{IS
& 7 ro
( 'I 5 .5/7'17&)
\ /
( .1l 5J~ )
dollars
$ 16-
Invoice #
Receipt
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05. 0 ~ 7 (;;
(Please
ADDRESS
~G-
I (
ZONING (office use)
/ t.;Z
I'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
(Phone) 9) l. -<(47 - 42. 30
OWNER
(Name)
~~k
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK ~New Construction ODeck OPorch ORe-Roofing
OAdditlOn OAlteration OUtility ConnectIon
ORe-Siding OLower Level Finish 0 Fireplace
CODE: DI.R.C. ~.B.C.
Type of Construction: /ftf'j I
Occupancy Group: A (Y E
Division:
o Misc,
_~fJ ---{!i7 &?hL6 TMrL~
PROJECT COST /V ALUE $
(excluding land)
II III IV& A~
F HI MRSU
I 2 3 4 5
I here y certify that I have furnished mfnrmation on this application which IS to the best of my knowledge true and correct. I also certify that 1 am the owner or authOrIzed agent for the
ab<lve entlOned property Jlld thJt mstruction WIll contlll'm to all existmg state and local laws and WIll proceed in accordance with submItted plans, I am aware that the buildmg
<ltEera can revo s perml lese Furtherl11ore. I hereby agree that the CIty official or a deSIgnee may enter upon the propel1y to perform needed mspectlons
lA.,A.,,~--
x
Contractor's License No.
/'
1- It../-.- dO C\
Date
Plan Check Fee
$
$
$
r
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ Le::::.. ce-
Permit Valuation
Permit Fee
State Surcharge
I Penalty
~ Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
ThiS IS to certify that the requL'st m the abuve applIcatIOn and accompanYlIlg documents is 111 accordance with the City Zoning Ordinance and may proceed as requested. Thls document
when signed by the City Planner Cllnstltutl'S J temporary Certificate of Zoning compltance and allows construction to commence. Before nccupancy, a Certificate ()f Occupancy mllst be
i.ssued
:r111/~
Special Conditions. if any
24 hOllr notice for all inspections (952) .t.t7-9850, fax (952) .t.t7-.t2.t5
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White
Pink
'(e!lnw
File
City
Applicant
I PERMIT NO. 0 C, 00751
n at bottom)
ZONING (office use)
L
/ 61~
4
I
S~.
~'E.
/"t
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 'Z
(Address)
(Phone)
OWNER
(Name)
~e.
,-
i BUILDER
I (Company Name)
I
I (Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Fimsh 0 Fireplace
DAddition DAlteration o Utility ConnectIOn
CODE: OI.R.C. lKl!,B.C.
Type of Constmction: .<:) I
Occupancy Group: A cv E
Division:
II
F
1
III
H
2
~v ~
3 4
~"4Ju
5
OMisc~TE!11'. {!tty C)FFIcC: TMI~
PROJECT COST /V ALUE $
(excluding land)
I herel:jY certify that 1 have turnlshed informatIOn on this application which IS to the best of my knowledge true and correct. 1 also certIfy that 1 am the owner or authOrized agent for the
dbnvl'-mcntlOned property and that CDJ1structlOJ1 wlll conform to all eXIstmg state and local laws and will proceed In accordance with submitted plans_ I am aware that the bmldmg
offIcial can r' s per 11 st ause Furth 'rmore. I hereby agree that the City offIcial or a deSIgnee may enter upon the propeI1y to per!eJrm needed inspections
1.- IY - )0(,1 \'
x
-\
Contractor's License No
Date
State Surcharge
Penalty
Plumbing Permit Fee
Mechamcal Permit Fee
Water Tower Fee
#
#
$
$
$
$
$
$
$
$
$
5.-
Permit Valuation
".,
Park Support Fee
SAC
#
#
Sewer & Water Permit Fee
$
$
$
$
$
$
I $
$
5
..--
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Permit Fee
Plan Check Fce
Builder's Deposit
Other
TOTAL DUE
TIllS IS to certify that the request m the above applical10n and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested, TIllS document
when signed by the CIty Planner CllnStltutes a temporary Certitkate of Zonmg compltance and allows constrllC110n to commence Before occupancy, a Certlficate of Occupancy must be
ISSlH.'d
Db
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 l(.l..~ E~c,...,-e ~ A.~ S.E-.
TYPE OF WORK e-~ T (2.Al'- OL-
USE OF BUILDING l c- 6...u
PERMIT NO. 05_ 0075" DATE ISSUED '1 (4- c:>
BUILDER c:::::;,\~ tiPt=- :rfl-\oll- ~\L.e-- PHONE # ~A-?-42-3c::>>
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
PRIOR LAKE
INSPECTION
RECORD
l10 1 ~ ADe:t.... t"\At-..\~ s,... S. C.
N ~ T~ LL..c::.,L..
(Ie.. Ne'-'
DATE ISSUED
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO.
05 0&7&
,
i It 4r/o5"
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