HomeMy WebLinkAboutBldg Permit 01-1285
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
.
AND UTILITY CONNECTION PERMIT
Date Rt-
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(Please type or print and sign at bottom)
ADDRESS
L White File
2. Pink City
3. Yellow Applicant
PERMIT NO. (j1-/ze5\
/b587 F/t/6 !-IJrWt:::J
LEGAL DESCRIPTION (office use only)
LOT 11 BLOCK } ADDITION P JU () If!.- VI bW 2 NO
OWNER
(Name)
(Address)
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( . BUILDER ~
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(Contact Name) ~-rA -::;/u.l
(Phone)
ZONING (office use)
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PID 25-2-75 - O/tf-O
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(Phone) C;S~ '" ""'9;> -)>1')~)C
(Phone) 6 (;).. ..... "710 - '7 /'Z ~...,
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(Address)
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TYPE OF WORK
o Misc.
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
A.J~U)
o New Construction
o Deck
OLower Level Finish
o Fireplace
PROJECTCOST/VALUE (excluding land) $
OAddition
$
$
$
$
$
$
$
$
I. zs-
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 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pro rm need . spections.
X ...- ~-~--
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.............-- ..........-:-~ ------ =----
pM11IfValuation ~ "2 I E7) O. 0 ()
I 4-'1. SV
This Application Becomes Your Building Permit When Approved
R /J1Ij-- II ~( ~--O I
Building Official Date
/U1/f/::ET
.J
o Porch
I
lRe-ROOfing
OAlteration
ORe-Siding
OUtility Connection
#
/I-/~
\. Date'--/
~
$
$
$
$
$
$
$
$
$ ISO, ~S
,
~21) ~
Contractor's License No.
Park Support Fee
SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
#
#
#
I Receipt No.
I 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
DATE TIME
~~k-
ADDRESS
/b~t'7 /dC~j~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~/ -/.2 J"'j ....
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..e1=iNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/7 ()
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./7 /
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/
~/
r /os-e
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h/p
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~j ;O~ REINSPECTION BEFORE COVERING
Inspector: h - Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
I/iS/VOT!