HomeMy WebLinkAboutBldg Permit 04-0935
Date Rec' d
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
1~d-41
,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER ~
(Name) J '-~ ~
Pv,~
,
(Address)
1. White File
2. Pink City
3 Yellow Applican.
- ;'
I PERMIT NO. ()~ -1,32)1
ZONING (office use)
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-
PlodS'" q 3 ()- OS'/j-< J
rY-r
(Phone)
CJ S-J-~to- /79'7
,
BUILDER
(Company Name)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction DDeck OPorch ~Re-ROOfing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility conn~n 0 Misc.
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
II
F
1
ill IV V A
HIM R
2 3 4 5
I
E
(Phone)
(Phone)
B
S U
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
above-mentIOned property and that aU construclton wtll conform to all eXlstmg state and local laws and Will proceed in accordance with submitted Plan:;J ami~;lre that the buildmg
:cla~;hls perm: f: JUsryllrthermore, I hereby agree that the City official or a deSignee may enter upon the property to perform needqi !~t/ (j L/
I signatu;4 Contractor's License No. I bate.
,
Permit Valuation Qs60 I
Permit Fee $ ~t.//7'l I
Plan Check Fee $ /-C;-J I
State Surcharge $ I
Penalty $ I
Plumbing Permit Fee $ I
Mechanical Permit Fee $ I
Sewer & Water Permit Fee $ I
Gas Fireplace Permit Fee $ I
This Application Becomes Your Building Permit When Approved
Building Otlicial
Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
J.;tp .-
i.J;" / Y
~
i
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Builder's Deposit
Other
TOTAL DUE
-----
Paid Ylk' - "
Date #- q -- J ~ - ij
Rec2iF ~No.
By
-.......
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/09/ ~~t!Jrly
I
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
d-FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: .
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DATE nME
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0/- 93S-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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o CORRECT ACTION AND PROCEED
o CORRECT ~R~ ~~OR REINSPECTION BEFORE COVERING
Inspector. p~,L--- Owner/Contr:
,.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTl