HomeMy WebLinkAboutBuilding Permit 05-0435
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5-/b.tJ-5-
ADDRESS
c O(/Cj~ r:'/777i
ZQ/8
I White
Pink
3 Yellow
File
City
Applicant
I PERMIT NO. OS, 043S-1
ZONING (office use)
"eIJLJ
LEGAL DESCRIPTION (office use only)
LOT Z-BLOCK S ADDITION
11/ 1(....0 J IV tjrz--n..;
PID Z::J-: 4C/~ 0& 7. C
OWNE~ ~
(Name) ,'-.:"'--
r..
\J;.~~~,\t {..
(Phone) <.ilL C} ILv ?Z 11
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility ConnectIOn
ower Level Finish 0 Fireplace
;3 tu1S.
CODE: OI.R.C. OI.B.C.
Type of Constntction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
A
R
5
o Misc.
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certify that I have hlrnlshed mformation on this application which is to the best of my knowledge true and correct. I also certIfy that I am the owner or authonzed agent for the
above-mentioned property and that all constructIOn will conform to all existing state and local laws and will proceed in accordance with submllted plans I am aware that the buildmg
<~l<e this p~mil f: r Just cause Furthermorc, I hereby agree that the CIty offIcial or a deSignee may enter upon the propel1y to perform needed. mspectlOns
X ~ '\ ; I -5"/ /t,y!05
'- __ Signature Contractor's License No. Date
Permit Valuation 3(000.00
Permit Fee $ 1~.1S
Plan Check Fee $ -
State Surcharge $ ,.J?)
Penalty $
Plumbing Permit Fee p,V ('-I)~ $ 40. 00
!-Mechanical Permit Fee-' $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Y OUT Building Pennit When Approved
HuildllH! Ufflcial
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other e:L&<!;17U (!~ $ leJO
TOTAL DUE $ 11'7 ZS-
Paid
Date
/n.z~
s-. /7. ()
I ~~cejJM-f9~0(
ThIS IS to certify that the request in the above application and accompanying documents IS in 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
PRIOR LAKE
INSPECTION RECORD
9/ D
~,
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. ATE ISSUED
CONTRACTOR PHONE
NOTE: THIS IS NOT A PE IT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
l....-. I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if re uired)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLU.MBING
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 ALL INSPECTIONS (952) 447-9850