HomeMy WebLinkAboutBuilding Permit 04-0666
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
While
Pink
Yellow
File
City
Applicant
(Please tvoe or orint and sim at bottom)
ADDRESS
532 I-
/3 OU/J ry Sf7e-€E, I
LEGAL DESCRIPTION (office use only)
LOT.tJ BLOCK3 ADDITION /5/24lJ/GJI/IU.(3 /11(;0
(p-nr
OWNER
(Name)
Pt:G Ote..S. K-u/fVT: KAIH ICA./;J
,
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
Date Rec' d
7. /. alf--
I PERMIT NO. o-l-.O(Pf6(p I
ZONING (office use)
1</
PID z.5. i8t. 034.0
#0 - 7389
TYPE OF WORK 0 New Construction DDeck DPorch iXRe.Roofing ORe-Siding DLower Level Finish 0 Fireplace
OAddition DAlteration DUtility Conne~n 0 Misc.
CODE: OJ.R.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
B
S U
PROJECT COST IV ALUE $
(excluding land)
J
E
II
F
I
IIIIVVA
H J M R
Z 3 4 5
x
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 co ruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
officialca ev e permit for Just caus urthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspections
7-!-OL
cz
Contractor's License No.
Signature
V
2,500.00
$ '74. '7E>
$
$
$
$
$
$
$
Permit Valuation
Park Support Fee
SAC
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
/. z.~
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
Paid 7(,.. () Q
Date 7. J. 14--
Building Ufticial
Date
Date
# $
# $
$
$
# $
# $
$
$
$ 1&.0 0
RecedNo. ~"1U-7
By-1 .
o
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 constltutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (9::i2) 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
DATE TIME
~~y
cd
ADDRESS
$s"Z ~
&v~k
/
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o~ 6'~~
D FOOTING D PLUMBING RI D EXlGRADIFILLING
D FOUNDATION D MECH RI D COMPLAINT
D FRAMING D WATER HOOKUP D FIREPLACE RI
D INSULATION D SEWER HOOKUP D FIREPLACE FINAL
..,eCH'INAL D PLUMBING FINAL D GASLlNE AIR TST
D SITE INSPECTION D MECH FINAL D
COMMENTS~ ~ ~ /
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/ ~ORKSATISFACTORY, PROCEED
~6~RRECT ACTION AND PROCEEO
o CORRECT WORK, i.LL FOR REI S~ECTION BEFORE COVERING
Inspector: j/i;'" \..JWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 01 SAFETY!
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