HomeMy WebLinkAboutBuilding 02-0369
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Lf - t to -0.),
~. ~i~i~e ~::y I PERMIT NO. 02 -II ? /- a I
3. Yellow Applicant . _ . V~ (f2 L
ADDRESS
PRIOR !AKe- /JJAJ 55372
ZONING (office use)
L{ ()
ADDITION
~3rd-
PIDe? '
7- () aLf-O
OWNERS~ 0
(Name) / evE' -;- oRe:NOA
(Address)/ S-/6?
/fmPf?5-t'1
TR. ~O
(Phone) gS2.- C 2'{;- 99'S7
tAKe:- /J/N S?' z.
BUILDER{J '7)1'".
(Name) GlTC;(J()(? ocilLDeRS J:NC
-:te.c.c aRc>)
exeT8? 0+-
(Phone) 6/2- ~'f- /'2 P3
(Phone) h/2.- ~6$- /'2 .?:?
~mI1V670^-1 //J)A/ SS(fl.. V
(Contact Name)
(Address) /3633
TYPE OF WORK
o New Construction
~ower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace DAddition OAlteration OUtility Connection
PROJECT COST /V ALUE (excluding land) $ ~O ~ (kJ (f, 00
I hereby certifY that I have furnished information 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 property and that all 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 revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~k'~'ctiOO' ;2030S' ff b:2 1I;S /(JZ
Signature Contractor's License No. 'Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ I .
Penalty $
Plumbing Permit Fee $ 4-0.0 V
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 I~ JYI J ~ 0 4--/{",..01- $ lit.. 2S
/
I ~~~ {:/7ltJ
. tionz Yom BU;<dffi(7;~Zcti
Buildi g Official Date
Paid
Date
/tt .Zt;
. ~/ 7 - CI z......
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 must 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
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
aUllDING AND INSPECTION
SITE ADDRESS JSL!.oj W~& OLC~ ~r-
NATURE OF WORK Lau1~r- L~~. .{::hM.sL
-
USE OF BUILDING ~ I="'f)
PERMIT NO. 02" OJcPq DATE ISSUED ~ -/~-o'"L-
CONTRACTOR .duL~ .~ ~ PHONE (,/2-7?C.s-/2/j2-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I~ I
II) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U -Cr. S" \0 0')...
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
b
{~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING v\
HEATING \; \
DO NOT OCCUpy UNTIL ABOVE HAS B EN 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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850