HomeMy WebLinkAboutBldg Permit 02-1584
11/10/02' Tt~ 10:03 FAX 6124474245
CITY OF PRIOR LAKE
'i
ICIJ001
Date Ree' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPQt{ARy CERIU1CATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~::::, 1"Jl,A1~IIT NO. /'i J _j'e::;-(>ll
), v....... Appliaal Vo< J 071
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~ cw. urDrizdud.ip It bottoml
ADDRESS
_ '-I93(g DQ~o~ 5-\. Nl ;y~\(,'{' lo..~J Mrv 5 537~
LEGAL DESCR.ar ! ...ON (0" '* only)
~-S-(o
LOT BLOCK j;.).AuUl!!ON
ZONING (oCIkcusc)
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PID h?7-G'(:) (-(jq /-Cl
,
OWNER. /\) "'\"\' N
(Name) ~, L~. ~n ~ Vo-W \\ "! e
. (Ml!.....,..) '-I93UJ '1)CA-~oiu-. (~i-n~(.;' tV E
=~R M~~\.\)~st (~~6..<" \\~~ao", (Phone) 95~-gM-~(9')0
(ConractName) Vn....\-i'V"'I-(. (phone) (nJ;).-.{)SO-94(oY
(Addless) \ d. 3~o ~~\X{" ~~ ~<:\"t.. ~\\J~') b~f\&\)J\,,"- I M,0 55337
TYPE OF WORK
D Mile:.
ClNnrCOIUU1KiioD
DLower Leve1 FIftlsb
(Phone) 95~ -YY7 - /35(p
Cl~
JlR..sidirls
Cl Urillty Conaec:tlOD
DPordJ
[JRe.Roofinc
D PlRplace OAddition DAllcOQon
PROJECTCOSTIVALUE (exdudln~Wld) S 7g~ 3.d.. 1
I heteby certify that 1 hlVll\uDilhat IDlbrmalioa OD thu application whieb. is In (he belt or my mowledp uuc: .nd......., I also cenify dlat I am the 01IIIlCI' or
authorizcd qcat rar die abovHDlntioued . ., 'I .. ~.: aIl4 that all consaucdon TIiIl COIIrorm to aU exining .1Ife IUd local laws Ind will proceed ill a<<OfdlDc:e wt1ll
.ubmiaed pIaDs. I am aware dial Ibe buildia. ollicial CID nvolcie mil permit fbr just caUle. Furthermo(c. J hereby ap that the cky olftdal or I clnittnce may
:~S:::~~~~" d.o147?>% 3/-:;//03
_ . SilnaCUlC) COIlcnaor'l L1cease No. ' Dale
, Permit Valuation
Permit Fee
Plu Check Pee
State Sun:huae
Penalty
Plumbing Permit Fee
MlCbanicaJ PenNt Fee
Sewer&: Walei' Pennit Pee
Oa, FireplaC8 Permit Pee
A 500. 00
s 74.7S"'
s
s 1.2S
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'I'1IiI AppIicatioD BIcomI. Yout BulIdiIll Permit WbeD AppnWfd
BuilcliDl 0fIidal
Da~
Parle St'n ..." Fell
SAC
1# ' $
# S
S
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II S
# S
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s "7G-.on
,
Receint No. '-/;? y" '1'1
Bv
Water Meta' Size 5/8"; I":
Pressure Reducer
City SAC and WAC
Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
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Paicl . '7JJ '/ (." , v .......
Date 1'::2-li":""o(/ --
11IiI1il1O cadly IbaI dle NCI\IISI in die .bovr IpplicJcloa IIId KCOlIIPuytn& documtall Is In I.., .,. .. with the CilJ ZOIIiIlf OrdlAllKt JIId may pl~ u, ",' .." .1. Thia dacumcnl
wIICII sIpcd by dIt Cby P111l11C1'~,cimta. t., ..1 .. I.. CcnIftcaIt 01 ZoniDI ctIIIIpliJKc IIMIIIows conltrtll:liaa 10 ao-..c.. .., '*"PUICY,. CenilInte oIOcrvpuq IIIUIlbr
iIIuctL
PIIIlIIIIlI Director
Dato Special Condltlona, If any
2A boar ootke for ail _peed... ,"1) 44'1.9850, lax (952) ....'-4245
16200 Eaalo Crwek Avenue Prior Ld:c, MN 'S372
~.iI1IIt"~~~
DATE TIME
CITY OF PRIOR LAKE J,tL
INSPECTION NOTICE SCHEDULED
ADDRESS L{jJ{, PU/td ~
OWNER CONTR.
PHONE NO. PERMIT NO. ).. '(S- J'{l
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ~d,;. "
J
/ , r n
/ " l) )-L
G
1,h
\v1
rj"/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ---lL1tJ - 2( tn Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTJ