HomeMy WebLinkAboutBldg Permit 05-0282
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
2 Pink
3 Yellow
File
City
Applicant
PERMIT NO. 0 S-, (; Z &< z.-j
/S7PZ7 h/GH~I'9A/O ;r:rvC
LEGAL DESCRIPTION (office use only)
LOT /2BLOCK I ADDITION 1St.. VI6fV IV/'
OWNER
(Name)
- ,
. '~tv\. l:..1
(Address)
s~~,
Date Rec' d
4-. /;f, oS-
ZONING (office use)
KAJO
PID 25, /4-3. 01'2-.0
s C- J...I: I..L,' ^-J f
0-.
(Phone)
(./~ '0 9 ?$.3
BUILDER ~ /).J... ' " ,
(Company Name) (~('tJ (_1;)j;;).~ r 'lD~.- tt ~. q
(Contact Name) ~ VE- J6>hvt~~
(Address) /6;;'cx:> 'JkS(pFR. g7-/V'O R,o/#'?~;!
(Phone) I)l()"3 Lf "J..f:). 990 J
(Phone)
#1W 5$$0"3
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection )(MiSC.
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
ORe-Siding OLower Level Finish
tJlt7l"J...e:y L.eP/I ~ 12-
PROJECT COST /V ALUE $
(excluding land)
I
E
III IV V A
HIM R
2 3 4 5
B
S U
o Fireplace
I hereby certify that I have nlrnished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owncr or authof!zcd agcnt for thc
above-menuoned propcrty and that all on I'Uction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I~ware that the buildmg
~ thIs permit for ca Fmthermore, I hereby agree that the CIty offiCIal or a deSIgnee may enter upon the property to perform necdcd spc ons.
X ---~- 'I ()
- ff Signature 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
II
F
I
$
$
$
$
$
$
$
$
St' o. tI 0
'z. r. (,; 0
/~. z,..J
_ !)C)
Park Support Fee
#
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
$
$
$
$
$
$
$
$
$
4-1. 7'S'
This Application Becomes Your Building Permit When Approved
Paid
Date
~/. ~t-
I,/I,VJ
~;ceiPt 4tf1111
7"-
Building Ollicial
Date
ThiS IS to ccrtify that thc request in the above application and accompanying documents is in accordance with the City Zoning Ordinancc and may proceed as rcqucstcd. ThIS document
whcn signcd by the City Planner constltutcs a temporary Certificate of Zonmg compliance and allows construction to commence. Before Llccupancy, a Ccrtlficatc 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 L 1;" ~ l ,
OWNER
/.{''51.J:.!- "J )
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
D..JNSULA TION
I!:I ~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Q\~V" ~__ /
I
COMMENTS:
DATE TIME
~
-5 - 0282
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREfCK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: . OWner/Contr:
CALL' ""0 FO),."E NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl