HomeMy WebLinkAboutBuilding Permit 05-0035
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please at bottom)
ADDRESS
15280 wooo
Date Rec' d
/. 7. oS-
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. OS. a 03 S-I
OU~
7JU1l L A/W
ZONING (office use)
~/
LEGAL DESCRIPTION (office use only)
LOT U BLOCK 2- ADDITION
WIt-OS SoUTH
PIDZS 382. cJ4-CJ. 0
OWNER
(Name)tv\ C'\ t\-
~
~J~\~
(Address)
(Phone)
7 S.-d - Llt!? - &{I/I/
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility Connection 0 Misc.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
Lower Level Finish 0 Fireplace
II
F
I
PROJECT COST/VALVE $
(excluding land)
I hereby certify that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certtfy that I am the owner or authortzed agent for the
that all onstructio wiIl conform to all extStmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
It for JUS ause Fu ermore, I hereby agree that the CIty official or a deSignee may enter upon the propelty to perform needed mspectlOns
x
Permit Fee
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Ee
Mechanical Permit Fee
I
Sewer & Water Permit Fee-
Gas Fireplace Permit Fee
------ ..
III IV VA
HIM R
2 3 4 5
B
S V
Contractor's License No.
3, 0 0 o. DO
+.70
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
.50
Pressure Reducer
+0.00
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
4-0. 0 ~
Other ~t e"t1Ju M1--
TOTAL DUE
This Application B 0 es Your Building Pennit When Approved
Paid
Date
/[;: :?
I~~~~
Buildllll! 01lici~1
D~(e
/- '}-lJ~-
Date
$
$
$
$
$
$
$
$
$
olJ
s-
ThIS IS to certify that the request m the above applicatIon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIs 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
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
01/27/2005 14:03 9524401740
ALTA CLEARWATER
PAGE 01
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. .
CITY OF PlllOJl LAJ(E PLUMBING PEllM1T
PJD
Type
3ink
at
FDSCdEDULE. ' 1..DIN. Wf17.t
. IncSu!lrilll, Commwal A MlI1ti-family. 1% of job cost wiIh a $39.50 ftIiftimam llUfdeDtlal,.Ncw One.t ~~
~. Ad4ilioua AltInDons~' .,.
Ettirnatld Cost S:2.} 7.:5D j 07J Building Pemait i#. .
PLUMB.INGPERMlTFEE s~<=t,60' ~.a
STAn; SURCH.\RGJ! S . ~ .so . f)
TOTAL PERMIT FEE" S ~2if7V. "
(0Ca: l\It OIIIJ)
I~::-~Y Y_--~':-~.'''I F:EB 8;zoo5~17~ -I
Z4 "au ~,., an iupdau '"") ~"'lSo. ~ (952) "'..a4S ,
PRIOR LAKE
INSPECTION RECORD
z 'tJOD (/
DEPARTMENT OF
BUILDING AND INSPECTION
I r .- I ] I
i~ - ~ j i I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SiGNED
I [H
FINALS
5- 11-~
I
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, card shall be placed near main entrance.
FOR .A.LL INSPECTIONS (952) 447-9850