HomeMy WebLinkAboutBldg Permit 04-0963
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. ADDRESS r
373~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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I. White File I PERMIT NO
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VI t;.,-W t,-I r<:-
LEGAL DESCRIPTION (office use only)
LOT q BLOCK I ADDITION / J t-..
OWNER
(Name)
(Address)
VI t::..""'W 2 NI'
(Phone)
ZONING (office use)
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PID zs. I~, ;1)0'1....0
BUILDER ~ I R f'.. 115
(Company Name)--.lJ 0 () ~ ~ . () 0,," ,(\ ~ (Phone) {; rJ - 'J.. Ct)( ~ laa~
(Contact Name) "F\ ~ ~ i'- kS (Phone)
(Address) li't1(1 a'r)-s:fLAJ~N'e wl<le-I.1(&tt1J 4t1I1J r-6o~~
.
TYPE OF WORK 0 New Construction o Deck o Porch Me-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition OAlteration OUtility Conn~~ 0 Misc.
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
B
S U
PROJECT COST/VALUE $
(excluding land)
n
F
I
ill IV V A
HIM R
2 3 4 5
I hereby certify that I have filmished in~ mation 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
onstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
9tJ'I'0t!
,
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
Signature
Contractor's License No.
$
$
$
$
$
$
$
$
Park Support Fee
SAC
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
I Paid
I Date
r;(,.(I()
't l,if.(J1-
This Application Becomes Your Building Permit When Approved
Buildinl! Otlicial
Date
Date
# $
# $
$
$
# $
# $
$
$
$ 7". 00
/J
Rec'~t No. ~820
B'Y't.
~
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
Planning Director
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
ADDRESS
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SCHEDULED i~ T1IIE
~~l.~ Oi.n
CITY OF PRIOR LAKE
INSPECnON NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'-I -CfU, ~
-
o FOOTING
o FOUNDATION
o FRAMING
o INSU~~
. :N:INAL
- ] SITE IN P
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
I
I
I
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~WORKSATISFACTORY. PROCEED
/OCORREC ACTION AND PROCEED
o COR ~K' CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
CAL 447 850 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE.
~aUIHMENTSnE FOR YOUR PERSO/W. REALm.. SA.., "
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