HomeMy WebLinkAboutBuilding Permit 04-0648
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sim at bottom)
ADDRESS
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City
Applicant
I PERMIT NO. Ot(- ~,/st
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOTf~LOCK I ADDITION LM~ J?l~
PID d~- t:?r;c;-IJ/7 t
OWNER
(Name)
u {) ~ r:l-lc fLA-DUl
(Address)
(Phone) -3 ~2- It.Y..J - 31 '-/L..
BUILDER . ) ~
(Company Name) ~\? -1..\ t7L I ~ 1) ic-" S (' /) /152.0
(Contact Name) ~(;()""'~_<..
(Address) Ilnrr7J1 <::,.,... ~ALic.l<' k
(Phone)
(Phone)
OJ 52.- 1./'-17 - Jfri 1"2. )j
IDI7 l)q 0 - 1) S"'t;""sl), (-"
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TYPE OF WORK 0 New Construction DDeck DPorch ~e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration o Utility Connection 0 Misc.
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
IIIIVVA
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certifY that 1 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 thaI the building
official can revoke this permit for Just allS' Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections
X ----Y -11-, 5" lo - z r;... () t./
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
re
OSOO/-I
$ ;;11-75'1
$ I d-.S-I
$ I
$ I
$ I
$ I
$
$
This Application Becomes Your Building Permit When Approved
Building Onicial
Dale
Contractor's License No,
Park Support Fee
#
#
Date
$
$
$
$
$
$
$
$ '} ~~ ---
$
Receipt No. <!0iq tfJ
By f3
~
ThiS IS to certify thac 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 Certlflcate of Occupancy mllst be
issued
Planning Director
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid ' / ~ - I
Date /..,,... ::J.-c, --l-/
I
Date
24 hour notice for all inspections (9::i2) 447-98::iO. fax (9::i2) 447-424::i
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
DATE TIME
~~
SsJj' ~'-~VC?Jr
/
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
OJ. NSULATION
~FINAL
o SITE INSPECTION
SCHEDULED
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: /J /J
/t! r~o f-
/ /:?
~O/cJ
Th-
0.y-~#,
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
..,./' /
/"l,nc:;;
C/dO f '/{)(} ~
J.9 roU.-..r!
V
r9IC
~ORK SATISFACTORY, PROCEED
~ ~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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