HomeMy WebLinkAboutBldg Permit 05-0426
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ADDRESS
/7 15 /
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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Yellow
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PERMIT NO. tJti4.f:;..h
File
City
Applicant
HOIe.A~ON
ZONING (office use)
ICI
{/cA IL
LEGAL DESCRIPTION (office use only)
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LOT II BLOCK Z ADDITION
OWNER
(Name)
rtJx.
,
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
PID 26. zq4-. 017. 0
tGOt3/N /fND 715tVNI FEJe.
1'17 u,Z1.l
(Phone)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction DDeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition o Alteration OUtility Connection
CODE: !I.R.C. DI.B.c. ~MiSC. et?/Z6SS WI/V{)()tN
Type of onstmction: I II III IV V A B PROJECT COST /V ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have li.1rmshed Information 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
a e- lIone ..ty 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
01 cial ca his p 'mlt for Just cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed InSpe.;tlons,
~ II L!()5
" Signature Contractor's License No. ' Date
This Application Becomes Your Building Permit When Approved
~~ ~ S/Il-~ S-
I Permit Valuation
\ Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
[-bas Fireplace Permit Fee
Building Official
. Z.~OO. 00
$ -Q71.J? ~
$
$ f I 'Z.-S
$
$
$
$
$
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
7",oi>
tf3
J
TOTAL DUE
. ~
Paid rJl/1 < -- -'
Date ,c:;--, ~ - ()<
Receipt No.l./->t?~
By C7
0-
Date
ThiS IS to certify that the request III the above applicallon and accompanYlllg documents is III accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner conslltutes a temporary Certificate of Zonlllg compliance and allows const1'llction 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 Avenue Prior Lake, MN 55372
Special Conditions, if any
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
(7/S-(
/1tvf t~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
~-7-V:r
(j5 - I,;..fu.
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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"'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT, ~O~ FOR REINSPECTION BEFORE COVERING
Inspector: N Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!