HomeMy WebLinkAboutBldg Permit 02-1599
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
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Av~-
LOT J BLOCK
LEGAL DESCRIPTION (office use only)
l/ ADDITION tPtdt flaM J
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OWNER
(Name)
(Address)
I if bSl
BUILDER
(Name)
1. White File
2 Pink City
3, Yellow Applicant
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(Phone)
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,
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(Contact Name)
(Address) 4-2-- <J
TYPE OF WORK
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o New Construction
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'1'+~ - 8 , '3 ~
Sr/-A-IC~~~ In rJ ~("~7'
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~e-Roofing
(Phone)
(Phone)
~~
ODeck
o Porch
PERMIT NO.O~ _ /)"C(y
ZONING (office use)
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PIDaS-J3~- O/f-O
lJ.1-I-, -, g, ~
.
~~~~
ORe-Siding
o Misc. R~
OLower Level Finish Nj- ~ Fireplace OAddition OAlteration OUtility Connection
Sl(y<-lc..ff7)" r-tkcJECfCOST/VALUE (exc1udingland) $ -,;).. 0 a ~
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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
~te~ers.~rfOrm:eededinSpectiOns. ?--O J-'1'13'+, I ?--( ~ -0 ~
~ I Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
;}... ') CJt) ,--
$ -'7[j,-15
$
$ J,~~
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
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I Paid 7-r (fa /" ,-
I Date /J-.- 1'7-tTcr--
# $
# $
$
$
# $
# $
$
$
$ 7~/~J
Receipt No. L.f :-1 ' / I J
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
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/fSS/ &/;P'tcLle
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...e--tiNAL
o SITE INSPECTION
COMMENTS:
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~t'OO /
SCHEDULED
CONTR.
PERMIT NO.
0,.2 - /S?9
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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(' o~~/e~
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~').~ ~ REINSPECTION BEFORE COVERING
Inspector: /~ Owner/Contr:
v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI