HomeMy WebLinkAboutBldg Permit 04-0703
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
7, It" ,1-
(Please tvve or print and sip at bottom)
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I. White File I PERMIT N
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LEGAL DESCRIPTION (office use only)
LOT I BLOCK -z. ADDITION
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) ~ 0'1
Ift 0,
~~
:TANGS Iv
(Phone)
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(Phone)
(Phone)
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ZONING (office use)
CI
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,
56064
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Sidi~ OLower Level Finish 0 Fireplace
OAddition ~lteration OUtility Connection 0 Misc. ~ tJ~ / ~
CODE: OI.R.C. ~.B.C. IV $A ~ PROJECTCOST/VALUE $
Type of Construction: I n ill (E..I (excluding land)
Occupancy Group: A B E F H IRS U
Division: 1 2 3 5
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 authonzed agent for the
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
;cial ca~k~his permnr ~ Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ne~: m7~ti:n0':1
.,y Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
I $
1$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I WaterTowerFee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
~(,. () ()
7, I Z,,,() 4-'
# $
# $
$
$
# $
# $
$
$
1 7(,,00
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R.eceiPt ~. .,..7 US
By A.)
(f
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
DATE TIllE
~~~Ay
ADDRESS /1/'O..ss C~~r~ e
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~~- ?c?cS
[] FOOTING
o FOUNDATION
[] FRAMING
[] INSULATION
~L
[] SITE INSPECTION
[] PLUMBING RI
o MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
o MECH FINAL
[] EXIGRAD/FILLING
o COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLlNE AIR TST
o
COMMENTS:
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~~RKSATISFAc.;IOI{VI PI{OCEED
[] CORRECT ACTION AND PROCEED
[] CORRECT WO~~~R R~INSPECTION BEFORE COVERING
Inspector: , ~ ~ Owner/Contr:
J~'/
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
ADDRESS
/Yo.5-?
DATE nME
SCHEDULED 1!~7
c3,*,~erce
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
CONTR.
PERMIT NO. /Js/- 7d3
,
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL ~INE ~R T5.1
o SITE INSPECTION 0 MECH FINAL /",O""..-'c./l V~Heer
COMMEN!J; / /' ' _ I" _
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~ ~~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL F. I
Inspector:
CALL 447-9850 FOR THE; NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <<I SAFETY!
INSNOTl