HomeMy WebLinkAboutBuilding 06-1102
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTmCATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
12-./1 uC-,
--~-7.-:
I ADDRESS b 7 U)" cis, J<!' R..J. S,?'"
~. =- ~~ I PERMIT NO. (,. / / 0 Z- I
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I LEGAL DESCRIPTION (..- ~"'y)
LOT BLOCK ADDITION
PID
OWNER.
(Name)
;?'" Ix/' f j-
r5p<. a;;( '=:. ~ So (( ;(
.v
(Address)
BUILDER.
(Company Name)
(Contact Name)
(Address) ~
s c./ r'1"-L/?'U- ~/1'UL ~""i€T
/J?tl'~ hCiL I H.-/~
~?I a'4~'u/ A~ ~
(phone)
(phone) tR I;{ - ~. 0 S ,- 7 lP<:.' ::-
W SS/~ (/"
TYPE OF WORK 0 New Consttuc:tion ODeck OPorch ORe-Roofing ORe.Siding O~ Level Fimsh 0 Fireplace
OAddition OAlteration OUtility Connection ~isc. K ("f-(.,Iv.. -'\ ~A-'I4(1 ~/
CODE: 6;Ii.R.C. DI.B.C. PROJECTCOST/VALUE $ 1....-=];;<. OrJ 0
Type of Coastruction: I n m IV V A B (excluding land) .
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
x
. alion which is to the bat of my knowledge true and comet. I oJIso cmiIY tbat I am the owner or authonzcd acem for thr
furm to all existina stale and local laws me! will ptOCftd in lICCIlI'CIaR<< with submitted pIaDs. I am aware that the buildinc
, I hereby qree that the city official or a cksisn<< may enter upon the property to perIOrm needed mspcctions.
-,
Cl 03 /'7 <b8" <-r
Contractor's LiceDse No.
/J.. -~ -Ob
0.
I bereby cmiIY that 11Ia~ furnished information 011 th.
aboYe-menl1oned property and that aU .
official can revoke' 't'
5
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit S
Other $
TOTAL DUE ( S I/{pL()
Permit Valuation
Pmnit Fee
Plan Check Fee
State Surcharge
Penalty
.', Plumbing Pmnit Fee
Mechanical Pmnit Fee
Sewer &: Water Permit Fee
Gas Fireplace Pennit Fee
-
1./0 f)"
/ Z/;9 jtJ ,
, Date
Ii: ~~?~~
9NO
B .
This AppIiemoa Becomes Your 81IDlIinI PermIt Whn ApproYft
~~
Buildimr. OffICial
f1l~1 Z-
This IS to cMify that the request in the above application and ~ docu_ is ill ~ wiIb Ibe City Zonina <>rdiDanc% &lid may ~ as requnIl:d. This dllCUmenl
when siplcd by the City Planner ronstit1Itn a muponry Cer1iIkaIe of Zonina rompIiancr me! allows COIIS1I1JCtion to COIII1IIml%. ~ occapancy, a CcniIicaIe of Occupancy must be
issurd
PImmiDa DiJec:lDr
. Cc.Iilicm, if ItIY
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24 IIour wotiu for .n IlllpKtioas (9!ll) ....7-9858. f.lI (m) ....7-414!l
16200 Eagle Creek Avenue Prior Lake. MN 55372
\
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR ONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
INSPECTOR
DATE
.
--- ~
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING
COVER NO WORK UNTIL ABOVE HAS BEEN SI~NED
~l 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, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447.9850