HomeMy WebLinkAboutBuilding Permit 04-0798
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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City
Applicant
(Please tvoe or orint and sip at bottom)
ADDRESS
/7369
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
BUILDER ~ C
(Company Name) U I/U/lbE7L L?--ree.-,,,IZS . LLC
(Contact Name) t!it::,TJ,.J g~nsA.iJ /
(Address) j),tJ.!O)l.. iR6fr }~M. L~E
I PERMIT NO. Of. I) 79 t:J j
ZONING (office use)
PID Z,1-. z,~ d 71 c}
. .
(Phone) 9~2. Vt/()-/YY'7
(Phone)
J M;./ .m 72-
TYPE OF WORK 0 New Construction DDeck DPorch ~-Roofing ORe-Siding DLower Level Finish 0 Fireplace
OAddition DAlteration DUtility Connection 0 Misc.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
mrvvA
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I
E
II
F
I
I hereby certify that I have hlmished 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-mentl roperty d t at aU constructio ill conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
otTicial ca revok this per it ~ JustQe F ore, rebY~hat the City offi~ or a designee may enter upon the property to perform needed 0nsrc tiO:S, /
X w 4, j /' JF dl>t/()2/ S-Y 7 29/0</
Signatur ~ C&~actor's License No. Date
(
Perffiit Valuation
Park Support Fee
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"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
7(,. /IV (/ .f_ "
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Paid
Date
Building Official
Date
# $
# $
$
$
# $
# $
$
$
J 7~'vV
Recei'37fo. ,..717/
By 1/,
o
ThIS IS to certify that the request in the aboVt' application and accompanying documents is in accordance with the City Zoning Ordinance and may pi"Oceed as requesled ThiS documcm
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
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
ADDRESS
/7..YC?
DATE TillE
SCHEDULED /!/.; 7~t/
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o ~- 79'r
,
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
..,A?FlNAL 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS: /J ~ (/ //
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~ORK SATISFACTORY, PROCEED
~ ~~RRECT ACTION AND PROCEED
o CORRECT WOR~, ~; zr RElNS~ECTlON BEFORE COVERING
Inspector: Y #-::" uwner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
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