HomeMy WebLinkAboutBuilding Permit 04-0524
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0 f. (/ sz...+t
(Please type or orint and sism at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
Date Rec' d
(P. z .t,4-
ZONING (office use)
LOT
ADDITION
PID zs: 144-. (lOr:;. 0
BLOCK
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
S'-Yi//it ;[/? 1~lh Ctt7/115r;?c/c~ 77o-d
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(Phone) 95';),.- ..), 9 ;';1'-: '51?8{
(Phone)
~~AP A#'~5'.?_<"''J
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TYPE OF WORK 0 New Construction DDeck DPorch \<l7fite-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddltlOn DAlteratlon OUtility Conn~n 0 Misc.
J hereby certify that ( have h.lrnished information on this application which is to the best of my knowledge true and correct I also certify that I am the owner or authonzcd 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 Ihe building
official can re~. it ~ ::;ree that the city otTicial or a designee may enter upon the property to perform needed Inspections: '
X '-- _~ ~ ~ ~'2l'~9977 6/'7/''2....4'
/ ~ """'S'l~~ Contractor's License No. I ., Date
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Permit Valuation
CODE: DLR.C. DLB.C.
Type of Construction:
Occupancy Group: A B
Division:
B
S U
PROJECT COSTlV ALUE $
(excluding land)
II
F
1
III IV VA
HIM R
2 3 4 5
1
E
z r<f1)
,
Park Support Fee
#
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Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
SAC
#
Water Meter
Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
Paid 'lU' vV
Date I. , z.. J "f--
/l
I' ~~:~o
O'
Building Official
Date
$
$
$
$
$
$
$
$
$7~ .Ver
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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 llccupancy, a CCrllficatc 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
,
SCHEDULED
ADDRESS
4P~_?
4~~__
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~_NSULA TlON
~INAL
o SITE INSPECTION
COMMENTS:
,On
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CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~~ TIME
6J.-
o L/ ...s-..2-/
o EXIGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~ORK SATISFACTORY, PROCEED
G ~'~RRECT ACTION AND PROCEED
o CORRECT WORK',~/J"R~INSPECTION BEFORE COVERING
Inspector: /~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTI