HomeMy WebLinkAboutBuilding Permit 04-0600
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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I. White File
2 Pink City
3 Yellow Applicant
IIIGIfLAND
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LEGAL DESCRIPTION (office use only)
LOT 2 BLOCK 3 ADDITION 3 te-O AVLJA/. eI'1SJP. ~06j6
OWNER
(Name) qfl,ey ~ CONNI6 f?JuESCHEK.
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
(Phone)
Date Rec' d
PERMIT NO'4 _ (,p t90
ZONING (officeusc)
'€/50
PID ZS. s4Z.. olQ. 0
2Z~. 4-/qq
TYPE OJ:"\\'; RK. 0 New Construction flfDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish
DAddition DAltera~ DUtility Connection 0 Misc.
CODE: I.R.C. OI.B.C. PROJECTCOST/VALUE S
Type of Construction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
o Fireplace
x
I ht:reby certify that I have furnished information on this application which is to the best of my knowledge true and correct I also certify that I am the owner or authorized agent for the
above-mentio property and at aU constnlction will conform to all existing slate and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can r this permi 0 just cause urthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
__ ~-f~-t1/-
Contractor's License No. Date
~
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
~'-I
72,_"'15 I
4'7."1~ I
L
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Park Support Fee
SAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
Paid
Date
/2L. 14 '!
~_ 'l-f" r--
Building Onicial
Date
# $
# $
$
$
# $
# $
$ {
$ ,
$ , '2z2 .~&(
R l
ReceiPtIN o. #n-IJ"-
By /1,
0
ThIS is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Otdinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning 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 Avenne Prior Lake. MN 55372
Special Conditions, if any
~
PRIOR LAKE ~~r~~~~~~D~~SPECTION
INSPECTION
. .
RECO D .
SITE ADDRESS \tV~1Z- Co~ ~
.. j
TYPE OF WORK t:>Ec-~
USE OF BUILDING IZ-E-s M'Z.- / .
PERMIT NO. 4 - ~Cb DATE iSSUED C:.// e. /04
, .
BUILDER ~;j Eu~c;,/f6tL PHONE # "Z.-z.(p-4117
NOTE: THIS IS OT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DAlE /
I FOOTING I ~ I tlk.>Jl1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNEr>
~ I I
, FINAL
~
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FOR ALL INSPECTIONS (952) 447-9850
'..
DATE
8,23-0 ~(
ADDRESS ~72 Id,''/f^ (.~_
OWNER CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULA~ON
o s:~Nt'pfcff'
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
nk ~ C~ ~.l.~ l,t;
TIllE
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o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
)l(:WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL _ -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
''''''''''
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI