HomeMy WebLinkAboutBldg Permit 04-1203
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tr1Je orprint and sign at b" ...,)
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BLOCK
LEGAL DESCRLr uON (office use only)
ADDITION
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OWNER
(Name) ~~~
(Address)
BUILDER
(Company Name) k\(\.~~ '?
(Contact Name) t>a.."" ~ Qj
(Address) ~~~1 ~QV\~!:"
Date Rec' d
I, White File
2. Pink City
3 Yellow Applicant
PERMIT NO. C>4 - r~ 3
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ZONING (office use)
(2.-2-
Mr-J
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PID 2':;; ~t:f~ -tr)"f-O
(Phone) tj'tf)L - 440 - 431/
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~~~
(Phone) -..G( '- Z2.\ ~ ,7 'R
(Phone)
JY 1\/ ':><; ~1 q
7-<:...,CJ7:::).-
$ 74,7c;
$ .
$ (.. Z..; -
$
$
$
$
$
~ur Buil~ing Permit wyn ^/prOved
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, D6te
TYPE OF WORK ~~ew ConstrUction DDeck DPorch ORe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
~ddit1On OAlteration OUtility Connection 0 Misc. l;;;cr6'2-terL- /f~~G~
CODE: OI.R.C.'bI.B.C. ~~ PROJECTCOST/VALUE S
Type of Constroctio~ I II ill IV V (excluding land)
Occupancy Group: A B E F A:'I IRS U
Division: 1/2 J 3 4 5
~
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
tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
.. j') I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
.~ /2..I.....cq
Contractor's License No. Date
Planning Director
"lo.'l
Park Support Fee
SAC
$
$
$
$
$
$
$
$
$
~.. - I
x
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
#
#
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
I Other
I TOTALDUE
I Paid 19...., .
I Date ''t-j-z.....IC}k
#
#
R.eceiPtNo. ~
By rmv!
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 requcsted. This document
when signed by the City Planner constitutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
DATE nilE
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ...s/h~ ,,~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
~L
[J SITE INSPECTION
[J PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
COMMENTS:
~. 4203
[J EXIGRADlFILLING
[J COMPLAINT
[J FIREPLACE Rl
[J FIREPLACE FINAL
[J GASUNE AIR TST
[J
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H~.;'Id~q'/-5 4 c/ft ~O
LRCh ~S-/eO/?"
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to/r
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~WORK SATISFACTORY, PROCEED
[J CORRECT ACTION AND PROCEED
.
[J CORRECT WORKJC~L~O~JNSPECTION BEFORE COVERING
'n_" _P~ONne<ICOntr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IN6NOrl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETYI