HomeMy WebLinkAboutBldg Permit 05-0574
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
File
City
Applicant
I PERMIT NO. tJl5 -\.) ?1.
,
ZONING (omce use)
White
Pink
Yellow
(Please type or print and sign at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT BLOCK>, ADDITION #/Lv0J ~/J6W~
O~R I
(Name) l)'i 'r~ M4- "PrrryU 0 N (Phone)
(Address)
BUILDER
(Company Name)
(Contact Name) _
(Address)
(Phone)
(Phone)
PID 1&3- 66 g-I
qs J- "1Lf7-()l(OP
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ~De-Siding DLower Level Finish 0 Fireplace
o Addition DAlteration DUtility Connection f\.'
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
V
M
4
A
R
5
B
S U
PROJECT COST /V ALUE $
(excluding land)
I
E
II
F
I
III IV
H I
2 3
do-c0-
I hereby certify that I have furnished mformation on this applical10n 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 .~ and that all constlUCtlon Will conform to all eXlstmg state and local laws and Will plOceed m accordance with submllted plans I am aware that the bUlldmg
:!iClal c~n nke( ;$u;:use FUlthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the property to pel form necde~i~nl ().J
-r- Y Signature Contractor's License No Date
I Permit Valuation ~SOO - 1 I Park Support Fee
I Permit Fee $ 7t/.7) \ I SAC
I Plan Check Fee $ /-- 52-5 I Water Meter Size 5/8"; I";
I State Surcharge $ I Pressure Reducer
I Penalty $ I Sewer/Water Connection Fee
I Plumbing Permit Fee $ 1 Water Tower Fee
I Mechanical Permit Fee $ I Builder's Deposit
I Sewer & Water Permit Fee $ I Other
\ Gas Fireplace Permit Fee $ I TOTAL DUE
This Application Becomes Your Building Permit When Approved
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Paid
Date
Building Oflicial
Dale
#
#
#
#
$
$
$
$
$
$
$
$
$ 7b
Receipt No.l.;'~/":; 0
By C'
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ThiS IS to certify that the requcst in the above application and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. This document
when signed by the City Planner conStitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificatc of Occupancy must be
issucd
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J/Y7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
....A!r'"'ANAL
o SITE INSPECTION
SCHEDULED
~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: // ,/
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DATE TIME
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OJ--S7/
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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AWORi(SATISF';CIUKI. t"",v...c:.c:.u ...J
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F REINSPECTION BEFORE COVERING
Inspector:
-__. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl