HomeMy WebLinkAboutBuilding Permit 05-0550
(
TEMPO
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
/~
TIME
SCHEDULED
,1?'I.'!> ~ CL+
ADDRESS
OWNER
CONTR.
s- - 550
PHONE NO.
PERMIT NO.
,5743
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
}H=INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
LEGAL DESCRIPTION (office use onl
ADDITIOI'
LOT
BLOCK
COMMENTS:
OWNER
(Name)
(Address)
I A-i> i VU J'i
"3r'i?J
UCh
! BUILDER
I (Company Name)
I (Contact Name)
(Address)
c~
Q ( tKt -A f-lP
-----
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I'
II W <''-l.J.-)
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,
TYPE OF WORK D New Constructil
DAddition Dp
CODE: 'IiZh.R.C. DI.B.c.
Type of t;nstmction:
Occupancy Group: A B
Division:
I
E
I
-.J
J
rnished mformatlOn
that all constructil
r Just cause Furtt
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
. CALL FOR REINSPECTION BEFORE COVERING
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
~
l
OwnerfContr:
7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
$
TOTAL DUE
. d" P nnit When Approved
This Application Becomes Your Bud mg e
~ :f~ tI,/I~/oS
.. ' I Date
Buildlllg Ottlcla " d 'ty 'Jl'()ceed as requested, TIllS document
h C Z n'ng Ordmance an 10, t " , b'
n documents IS in accordance wIth t ,e Ily 0 I '. )CCU ancy a Certltlcat" of Occupancy must "
ThIS IS to certIfy that the request in the above application ~~d(~c~a~~~:i~nrng comphance and allows constructIon tn commence, Bcfm" l p, ,
' d by th" City Planner constItutes a tempOlary "I I
when slgne c
I issued
Planning Director
Date _
24 hour notice for all inspections (952) ~47-9850, fax ~~2;34;~-424:'l
16200 Eagle Creek Avenue Pnor Lake, M
Special Conditions, if any
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ~3 ZFEEflS' (!;c.
TYPE OF WORK ~
USE OF BUILDING ~ IIIL
PERMIT NO. ~ - DATIlSsUED ~ ()S
BUILDER ,....-rJ(.,. ","," PHONE #~4-.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I lJ.,1r I C, 15 -. '-~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
7; / ,
I 1) I /(~~'/ ,,?'J57
c,
I FINAL
FOR ALL INSPECTIONS (952) 447-9850
(Please
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
r; ./3.05
White
Pink
Yellow
I PERMIT NO. 05~0..5S7) I
File
City
Applicant
n at bottom)
,5743
ZONING (office use)
;e/
~f37C-S
(!;T.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID 2..5". :$ 95': d' 7- C)
OWNER
(Name)
k A-D i VU J'i U'" IL, c..6J t C
"3r'i'J ue - -t
(Phone)
957. JD-Ocl )
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
c~
(1 ~ l(x). ~12..~
:uv L-
(Phone)
(Phone)
-----
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II W (~" \ilw...u~~<t-
l'J-l.
.0 \Jt~
TYPE OF WORK 0 New Construction
OAddilIon OAlterat n
eck OPorch ORe.Roofing
OUtility ConnectIOn
ORe.Siding
OLower Level Finrsh
o Fireplace
CODE: ~.R.C. DI.B.c. o Mise.
Type of onstmction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COST/VALUE $
(excluding land)
I hereby certifY that I have rnlshed rnformation on this application which is to the best uf my knowledge true and correct. I also certIfy that I am the owner or authOrIzed agent for the
above-mentIOned proper an that all construction will conform to all eXIstrng state and local laws and will proceed in accordance with submItted plans, I am aware that the buildrng
official ca s p rmlt Jr Just cause Furthermore, I hereby agree that the CIty official or a deSignee may enter upon the propeny to perform needed lIlSpectHlns
\..J--- (. - (;} '-0 1-
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
"
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 $ /'-17.//
Contractor's License No,
Date
This Application Becomes Your Building Permit When Approved
~:f~
tI,/J3/oS
Date
Buildlllg Omcial
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 ZOOlng complrance and allows construetIon to commence, Before occupancy, a CertItlcate 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