HomeMy WebLinkAboutBldg Permit 06-0603
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please type or print and si2l1 at bottom)
ADDRESS
I White File I PERM ~ ~
2_ Pink City IT NO. /7/ --- _ A /)
3 Yellow Applicant U(p u (/l
30L/~
HCLtu/~ /() /'dc;e
I
Rd
ZONING (office use)
~J.l
LEGAL DESCRIPTION (office use only) _.. _ _ I
LOT0BLOCK ( ADDITION!f)ril1lt ~d ~fJci
PID .371.. CJ (J3-CJ
OWNER . .-
(Name) k~AJ
(Address)
KuRT'fA/AA-cH
3 f) l.fto ttll W t.. R {&)e Rei }J W
(Phone) 9~ 1- 'I J 2. -2..,<ftJ
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction jgIDeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
n
F
1
IDlY
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlmished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authoTlzed agent for the
above-mentIOned property an that II construction will conform to all existing state and local laws and wilJ proceed in accordance with submitted plans. I am aware that the building
official can revoke t - per r cause Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed inspectIOns.
X ~_. 7-~ -2<:V~
--t,...., Signature Contractor's License No. Date
Permit Valuation YJrJO.-1 Park Support Fee # $
Permit Fee $ - P,~_2~ SAC # $
.- $
Plan Check Fee $ t;., :!>C'o I Water Meter Size 5/8"; I";
State Surcharge $ '- 50- Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
~$ Other $
$ I TOTAL DUE $ l41 .,
-
J '''''' J I .5 j ,11/
Paid /'-1' I' II Receipt No.
Date -7- ~- By it-
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 mllst be
issued
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
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· P RIO R LAK E ~~r~~~~~~ ~:SPECTION
INSPECTION
SITE ADDRESS 3~iCRIu~9~'d4e-
TYPE OF WORK -P~ J
USE OF BUILDING -S~
PERMIT NO. --'!JJ;, "03 . DATE ISSUED
BUILDER ~ (/.A..u- ~ hCA&. _ PHONE # If/ ~- ;) 580 .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I,.
INSPECTOR '1' DATE
I FOOTING I ,/W I 7-1 !~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I ,
I I:;;; I ?h~
vc /
FOR ALL INSPECTIONS (952) 447-9850
J
i
FINAL
ll~~
,~k-~
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 'to%
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSU~t-
INAL
~ITE IN EC
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
TIME
(p- C&~
/
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
cjp~-t C?, ~l
/
~RK SATISFACTORY, PROCEED
o CORREffiT NO PROCEED
o CORRE W .K, ALL FOR REINSPECTION BEFORE COVERING
Inspector: \.1 ;y Owner/Contr:
~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/
INSNOTl