HomeMy WebLinkAboutBldg Permit 06-0059
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White File
2. Pink City
3 Yellow Applicant
Date Rec' d
I PERMIT NO. 06--S'C;
. (Please o/1N: or print and sign at bottom)
- c;, 1 'Ie. U-i II ~ Ie ~T ); S E
7r \ or- k\c.e ,(Y\ ,.j
LEGAL DESCRIPTION (office use only)
LOT bBLOCKr(; ADDITION PrJ()(r .So U't:J,
JJ<?~~ l(E~' 601' hliM-
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
ZONING (office use)
R/SD
PID /) $;-- CJ ;1- / 1;;;'-(;
,If qC;-Z-<[l/O-Y/20
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish
OAddition QlAlteration OUtility Connection ~Cl\ll-O fI15" ~ A l...('"
o Misc.
CODE: ~.R.C. OLB.C.
Type of Gnstruction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
I hcreby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also celtify that I am the owncr or authorIzcd agcnt for thc
abovc.menltoned propcrty and that aU 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 revokc this permit for just cause Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform necded mspcctions.
4--
This Application Becomes Your Building Pennit When Approved
x
,.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~~
Building Otlicial
~
i.-
Contractor's License No.
/, '2'7-0("
-.II
$
$
$
$
$
$
$
$
$ 7te" () (!)
~f/~-i.t:6
If,
ThIS IS to ccrtify thatlhc rcqucst in the abovc application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as rcqucstcd. This documcnt
when signcd by the City Planner constitutcs a tcmporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CCl1ificatc of Occupancy must be
issued
Planning Director
~
~.,O.~O
$ 7'-/, 7S'
$
$
lZS
$
$
$
$
$
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
--
~/.1D~f"
Paid
Date
'7~ ~
/,...;) 7-r..:,
Receipt No.
By
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
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 1.7.& "'IL~-n-~, S € #
TYPE OF WORK ~.IJI& ~"f.. n 11'N~~ ~,
USE OF BUILDING O{c~ 51 ~ ~ ~ _
PERMIT NO. DATE ISSUED IIl.)~"
BUILDER .KaNr 6fJlI./"Il4/114. PHONE #1.D ."""'.~/l4
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FRAMING
I I
CRETE UNTIL ABOVE HAS BEEN S~~ED
I ~ I #/tJ /0),
, .
, FINAL
...
J/W/
,f)~~
FOR ALL INSPECTIONS (952) 447-9850 .
DATE TIME
CITY OF PRIOR LAKE ~5'~
INSPECTION NOTICE SCHEDULED
ADDRESS C::1Y 1 !:bil Cr<-M-
OWNER CONTR.
PHONE NO. PERMIT NO. ~-ST1
o FOOTING o PLUMBING RI o EXIGRADlFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~LATION o SEWER HOOKUP o FIREPLACE FINAL
INAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: _____
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( / I
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..........
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-
---
/"ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~T WO~I 7tA~ REINSPECTION BEFORE COVERING
Inspector. ----1f......Jff'/ Owner/Contr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,& SAFETYI
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