HomeMy WebLinkAboutBuilding 06-0219
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
n at bottom)
/55tps .P'~,t:;JIOC
Date Rec' d
3, J/, 00
I White
Pink
Yellow
File
City
Applicant
[ PERMITNO.O~. 02/9 I
L/V.
ZONING (ortice use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
PID 2 ~-. '3 (,7 Of 7. 0
I./w
(Phone) 1'~2 - 22(, ,~~zL
L, m~ ~~37J _
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility ConnectIOn
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
ower Level Finish 0 Fireplace
~~5
o Misc.
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
I hereby cenity that I have hlrnlshed Infmmatio 0 this applicatIon which IS to the best of my knowledge true and colTect. I also eenity that I am the owner or authOrIzed agent filr the
ti will conform to all existIng state and local laws and will proceed in accmdance with submitted plans I am aware that the buildIng
ee at t e City official or a designee may enter upon the propel1y to perfor3:d ?)C";;
x
Permit Valuation Z, 00 O. 00
Permit Fee $ Go z., z.s-
Plan Check Fee $ -
State Surcharge $ 'r 0 0
I Penalty $
Plumbing Permit Fee $ 'fO.OO
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $ .--
This Application Becomes Your Building Permit When Approved
~~~ i?h'!'b
Buildmg Otlicial Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /0..3, z.s-
ThIS IS to ccrtlty that the request m the above applicatIon and accompanymg documents is in accordance WIth the City Zoning Ordinance and may proceed as requested. Tim document
when signed by the City Planner constItutes a temporalY 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
& AI.
DEPARTMENT OF
BUilDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ J 1
~i -i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
1
J
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
& (L,"0
VJIl' !
, . v 1/
t
. / Il/{j"
" (f" '()J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I J I
FINALS
BUILDING
ELECrRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTil ABOVE HAS BEEN
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.
'3 ,- ~hn
/l/'nrJ
/ ",J/cr1
SIGNED
FOR ALL INSPECTIONS (952) 447-9850