HomeMy WebLinkAboutBldg Permit 03-1447
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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(Please type or print and sign at bottom)
ADDRESS J 1-1} q 7 jvJ~/TVU e.o
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
BUILDER -l H _)_
(Name) ~.L .~_~ (,)_
(Contact Name) :SEEF g-rt:"fi'=.!2
(Address) Z"/Ol 36 75 ~, S.
Date Rec' d
~. ~i~i~e ~:~y I PERMIT NO. {].l ::> -A~7
3. Yellow Applicant ~ ~
ZONING (office use)
PID~ 0.53 .O/I...1J
(Phone)
(Phone) h /2.'33/ -/~~-,j-"
(Phone) aU "(12- :Y1~-IZ/9
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I /
TYPE OF WORK
o New Construction
DLower Level Finish
o Misc.
DDeck
o Porch
ORe-Roofing
o Fireplace
DAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
I hereby certifY that I 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 ove-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
are that the building 0 ial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
x
o perfo7/e
J Signature
$
$
$
$
$
$
$
$
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2;500.00
. 7'1.7;
/ If
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
-
This Application Becomes Your Building Permit When Approved
Building Official
Date
..9(/ 7
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
#
#
~e-Siding
DUtility Connection
lohA;;~
Date
$
$
$
$
$
$
$
$
$ 7~.oO
.
Recel;;1o. ~d~-Z-
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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 occupancy, a Certificate of Occupancy must be
issued.
I Paid
I Date
7{,.tJ ()
I t!J. M.o]
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (95i) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/y'?97 ~#" iu
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
.d.s~ d;
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
G~pj'~/~
r -
DATE TIME
f~s-
~1-/$/~7
D EXIGRADIFILLlNG
D COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
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V CO S-e h /e.
IbXA, '----.. .
A nORK SA TIS FACT """' I . ,. """...0::1:6---
D CORRECT ACTION AND PROCEED
D CORRECT WORK, CALL F R REINSPECTION BEFORE COVERING
Inspector:
------- --....
'" ...........
)
/
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Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl