HomeMy WebLinkAboutBuilding Permit 05-0146
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2 . ZS: DS-
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05" o/4(P
at bottom)
ZONING (office use)
v;! ~ Crt j f tJ rdt. N iL)
(Jr, J;Y Ltt.-L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDz,5.3fr;O. () 0 8. 0
OWNE~
(Name) \ pA/)
t--r- J..
L~ e ,AI L.-f J\
Warrv!K~'
(Phone)
'JSJ - L/L/b. r15:Y
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility ConnectIOn 0 Misc.
CODE: ~.R.C. DI.B.c.
Type of ~stmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Sldmg
Lower Level FInIsh ,,~Flreplace
3 ~.s. flIj F.P.
PROJECT COST IV ALclE... $_
(excluding land) ~
I hereby certify that I h, e furnished mformation on this application which IS to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent for the
above-mentIOned pro' and tJ'}t all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
offiCIal can revoke t ermll foy"st ?Ise Furthermore, I hereby agree that the City official or a deSignee may enter upon the property to perform needed mspecl10 s.
X V ~ . L/L-- 65
Signature Contractor's License No.
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
-")
Permit Valuation 3 o 0 0 . 00
Permit Fee $ 74. 75
Plan Check Fee $ -
State Surcharge $ 1.50
Penalty $
Plumbing Permit Fee $ ~.OO
Mechanical Permit F $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ +0. () ()
~
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
#
#
TOTAL DUE
.2.5
This Application Becomes Your Building Permit When Approved
~._~
Buildlllg Otliclal
c::;./;;.sAs
, Oat!
Paid
Date
/~.~r
'Z . z.,r. Cf r
ReceiJll.:-. rellJ'~
By . .
/
1
ThIS IS to certify that the request In the above applical10n and accompanymg 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 must be
Isslled
Planning Director
Special Conditions, if any
Date
24 hour notiee for all inspeetions (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3043 VI6W~T CA~
NATURE OF WORK LOwe-Ie ~cc-
USE OF BUILDING ~s I"T//C
,
PERMIT NO. os-; 0 /4-(, DATE ISSUED 2~ 2~. os-
CONTRACTOR !JV/'T'/l.-N6K.t5 PHONE #0. Y95z-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
' THE PERMIT IS BY SEPARATE DOCUMENT
=-- ' -f'
~IL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
j
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
r ]
FINALS
I
]
BUILDING
ELECTRICAL
PLUM~ING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850