HomeMy WebLinkAboutBldg Permit 05-1170
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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(Contact Name) -p k '1'""1' \\N
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER Co('\\'f',~
(Name)
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(Address)
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Date Rec' d
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3 Yellow
I PERMIT NO'Q.5>--'117 ()
File
City
Applicant
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ZONING (office use)
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TYPE OF WORK 0 New Construction DDeck o Porch Re-Roofing
DAddition DAlteration DUtility Connecti n
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V
HIM
234
x
ave fllrnished mformation 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
rty and that all construction will conform to all exisl1ng state and local laws and will proceed in accordance with submittcd plans. I am aware that the buildmg
rmit for Just cause. Furthermore, I hereby agree that the my official or a 50nr G03 u~'qropelty to perform ne3d ~pec"r~ 05
Signature Contractor's License No. Date
I hereby certify that
above-mentIOned pr
official can revoke thl
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildllll! Oflicial
Date
DLower Level Finish 0 Fireplace
o Misc.
A
R
5
11,010. (b
-'
B
S
PROJECT COST IV ALUE
(excluding land)
$
U
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ '7(,. {/V
" I
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 Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
isslIed
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
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DATE
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
TIME
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.&'J--i=fNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEC FINAL /7
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COMMENTS:
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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kORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~ RElNSPECTION BEFORE COVERING
Inspector: J Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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