HomeMy WebLinkAboutBldg Permit 04-0251
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ADDRESS rl
I ,210
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND l.J IILITY CONNECTION PERMIT
Date Rec' d
f./3, D4-
I. White File
2. Pink City
3 Yellow Applicant
PERMIT NO'04-. 025 J
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ZONING (office use)
elSD
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LEGAL DESCRIPTION (office use only)
LOT Z BLOCK / ADDITION
OWNER
(Name)
J(/L/ 6 ~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
WOODVlew /sr
PIDz.$ /95. OOZe t)
LI-OVO SC!Ht)nI'1F.Je-
, .
(Phone)~~-~~ 'I
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch MRe-Roofing ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Conn~n 0 Misc.
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 t 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
offtcial can revoke this per 't for ju t cause. Furthermore, I hereby agree that the city offtcial or a designee may enter upon the property to .-".L,u needed Inspections.
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I Permit Valuation
Permit Fee
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
PROJECT COST IV ALUE $
(excluding land)
ill IV V A
HIM R
2 3 4 5
B
S U
This Application Becomes Your Building Pennit When A. . ." I' ed
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Building Otlicial
Signature
Contractor's License No.
~\~.tL~
Date .
ZJ 5'00 .00
$ 74-. 75
$
$
$
$
$
$
$
I Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ '7b.OO
Water Meter
Size 5/8"; I";
).2-5
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
I Paid 7{,. () 0
I Date 4- . /3. ()4-
(J9
Date
-
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
~gr
TIME
ADDRESS
/7.2/0
~/~V
/
CONTR.
OWNER
PHONE NO.
PERMIT NO.
oY -.Art
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.)J--ANAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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G.?~p I~. (~
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f c /;; r ~ h ~/'t' . ~
poRKSATI~~Ce~
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ..._____Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
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