HomeMy WebLinkAboutBuilding Permit 04-0826
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8. /0. 0 1-
(Please type or urint and sip at bottom)
ADDRESS , /
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Pink
Yellow
File
City
Applicant
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LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
EVfJ.A
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
5kll~ul
I PERMIT NO. (J4. 0 a 2-01
ZONING (office use)
..e /S 0
PID 25 oz.B. tJlf,. 0
(Phone) ~~2~ ~y:(.- fill-
(Phone)
(Phone)
TYPE OF WORK 0 New Construction DDeck DPorch hiRe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility ConnJti6'n 0 Misc.
CODE: DLR.C DLB.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
B
S U
PROJECT COST IV ALUE $
(excluding land)
II
F
I
mrvvA
HIM R
2 3 4 5
I hereby ('crti t I have h.lrnished information on this apphc lion which is to the best of my knowledge true and correct. I also certify that I am the owner or alllhof1Zcd agent for the
above- tlOoed property and that all con ruction w. I con~ to all existing state and iocallaws and will proceed in accordance with submitted plans. I am aware that the building
nfficia an yoke this permit for Just cau Further ore I reby agree that the city official or a designee may enter upon the property to perform needed InspectlOns_ _ I /
X /ltz,1. ~ .-( O. D~
Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
l Gas Fireplace Permit Fee
2,500.00
$
$
$
$
$
$
$
$
Park Support 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 Permit When Approved
Paid
Date
7(". (/U
& ,If) 04--
Building Official
Date
# $
# $
$
$
# $
# $
$
$
$ 7&.00
I
Rec'l1No. ~7SZ7 ~
By 1__
rJ
ThiS is to certify that the request in the aboye 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 Celtificate of Zoning compliance and allows construction co 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
?/f' ~ I
CATE TIME
SCHEDULED ~~~
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CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
cF/ ~ ~ a-Co
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
~MING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION 0 MEcH FINAL 0
COMMENTS;/? /J ~ 7 //
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..( ~ORK SATISFACTORY. PROCEED C
I;} CORRECT ACTION AND PROCEED
o CORRECT WORK, ~/ YCEINSPECTION BEFORE COVERING
Inspector: p/vC/;- 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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