HomeMy WebLinkAboutBldg Permit 05-0278
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~lJ3.05
(Please type or print and si~ at bottom)
ADDRESS
White File I PERMI
Pink Cily TNO. 05.0270
Yellow Applicant I L.-/
tftxoS
Wu rn m I nq tu~ rd f\(- d\ l
N~(,.
LEGAL DESCRIPTION (office use only)
LOT , BLOCK l. ADDITION K~ O~
l{lll ~gp. Add;tion
PID 25.-549'. 007. C
ZONING (office use)
K/
OWNER lIt I .1"' lip. /'
(Name) ~'nell~h - \-indu, Chin..,
(Address) "-l~lo~ l-k.mrni "3 t-o.,....d 6d',l N.c.
BUILDER 'V"re.{ni Urn I. "
(Company NameiBrddley ~ ~lil-t"l::. Wc:od Cdr~tru (Phone) f q'5A) B~-or~o
(Contact Name)'Rn:1d lcO.I t---C ~nlJ..l t~ v (~~e(qS\ a7:/:)- ?-5<0~
(Address)%~9 Uummingbrd ~d;' ~.t:. I'ffior Ldke)hN. 55~L..
(PhOne)~g. ') ~2:-o:::llnq
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 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 submitted plans. I am aware that the building
offiCIal can revoke thIs pel mlt for Just cause FlIlthermore, I hereby agree that the cay offiCIal or a deSIgnee may enter upon the property to perform needed inspectIons
~ r~ 'l:C--~?:~~~reNO 0,"
4&w-o. {)~
$ 8~ ' z.S'
$ 57. .3,
$ I. c:;o
$
$
$
$
$
/47. I'
./
Receipt No. II )( / I.:J
By ~
TYPE OF WORK 0 New Construction ~eck OPorch ORe. Roofing ORe.Siding OLower Level Finish
OAddition OAlteration OUtiJity Connection 0 Misc.
CODE: ~.R.C. DI.B.C.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
Permit Valuation
Park Support Fee
#
Permit Fee
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; I";
State Surcharge
Pressure Reducer
Penalty
Sewer/Water Connection Fee
#
Plumbing Permit Fee
Water Tower Fee
#
Mechanical Permit Fee
Builder's Deposit
Sewer & Water Permit Fee
Other
Gas Fireplace Permit Fee
TOTAL DUE t!RUelJ 4 j~', d.>
This Application Becomes Your Building Permit When Approved
1L/11. J I __
-<1- Iq- 0';
~
.
'=fuJIf-
-1,/ ~~/05
Paid
Date
Building Ollicial
o Fireplace
~
qJ~
$
$
$
$
$
$
$
$
$
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 constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Dale Special Condilions, if any
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
DEPARTMENT OF
BUILDING AND INSPECTION
'j"7?L1/L
SITE ADDRESS 4505 /ft./I'1/V? 1/VG;t3//2D //C--rl
TYPE OF WORK DGet::-
USE OF BUILDING I2ES /1//<-
PERMIT NO. OS-, 0278 / DATE ISSUED 4. /,3, oS-
BUILDER f3/ZAO(j~1( E. stfiUL..T~ PHONE # 250. 75rcS-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSP;C:~" A DATJ
J FOOTING I /~ I /'/16/65
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL I (11) 17 /~()j~ ·
.. , / /
FOR ALL INSPECTIONS (952) 447-9850
, .
I
I
DATE
1/2a(g7
ADDRESS 45&S !Iv IJ.-lIAA L~~Co ~.r ~
OWNER CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULA llQN t.,.,
INAL to'Clc;;
o E INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
No an-..p~ -; -k 'Dol'"" \e
."
C\C6t. ~ ~~
TIME
>- '7~
-.~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~CRK' LL FOR REINSPECTION BEFORE COVERING
\
Inspector:. Owner/Contr:
CALL f9S 0 FOR T~XT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!