HomeMy WebLinkAboutBuilding Permit 04-0783
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvpc or Drint and sial at bottom)
ADDRESS ./J.. / ~
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LEGAL DESCRIPTION (olliee use only)
LOT ~BLOCK I ADDITION
OWNER
(Name)
/1/
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Date Rec' d
I,Wllite
2. Pink
3 Yellow
File
City
Applicant
I PERMIT NOot?4-783
C T /VI.{)
frf/fficeuseJ
Ylod::li ~tb~ ::<5'-503...tJO~'O
(Phone)
9..5",l
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t!'7o - 6</'/,3-
7'>'/ -SS/O cet:(
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeek JtJporeh ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc. ~;!
at. ' . +' Screep 0 n:::.- f
CODE: OI.R.C. OLB.C. ()se 'IV e-Yls I tJ<j PROJEC COST/V UE $ 6,j"o 0
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
I hereby 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 uwner or authorized agent for the
above-mentioned property and that aU co lIction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
;".~ pcrm t" urth"mo", I h",by .,m that th, lily ofl""1 or. d,,'go" may ,nt" "pon th, prop,rty to pcr'olm n"7Z:;~ ~
-- Signa~ ~ Contractor's License No. / ./'f>ate
I
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I SIate Surcharge $
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
1 Gas Fireplace Per:nit Fee \ $
,,' -
~~mgpamH ~
8uilding Otlicial
'2.5<90. -
"14- .1S
I, '2-5
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other 6LE:c-,
I TOTALDUE
I Paid
I Date
-7'; .-
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$
$
" $
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$
PE,,/I/. IJI, $
$ "'1~ ~
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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. This document
when signed by the City Planner constitutl'S a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
./
Date Special Conditions, if any
24 honr notice for.n inspections (952) 447-9850. f.x (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS .:S 0& 4- ~ <-0_" ~ ocpiJ-Cr. JV. L.J ,
NATURE OF WORK eoN"JlB<r <&A1fhf ~If Tc, 3S64<;&A/
USE OF BUILDING I<E~ A/I<. I /
PERMIT NO. 1!>4--7&3 DATE ISSUED ...,./z7/o4-
CONTRACTOR At.. E6-'?LDp-r PHONE.~Iz~ q9(- 5"~lo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,
D~ARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
..,
~rior to Backfill) I I.
PLACE NO CONCRETE UNTiL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
iNSULATION
ELECTRICAL
-
fl7/
. I I
/
)j7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
r to Sodding)
rJ?
e --d5
BUILDING
ELECTRICA
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
DATE TIllE
CITY OF PRIOR LAKE ~-2b
INSPECTION NOTICE SCHEDULED
ADDRESS 3r:e <f
OWNER CONTR.
PHONE NO. PERMIT NO. If- 7/Jr;
o FOOTING o PLUMBING RI o EXlGRADlFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~INAL o PLUMBING FINAL o GASLlNE AIR TST
o ITE INSPECTION o MECH FINAL 0
COMMENTS:
o~~ ~
/I.
t,.lh
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORiflRE CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Cantr:
CA L 50 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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