HomeMy WebLinkAboutBldg Permit 02-1503
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
ANb UTILITY CONNECTION PERMIT
Date Rec
1. White File I PERMIT NO 03
2. Pink City oJ}l._ /'-
3. Yellow Applicant l J ^ <:::J
(Please type or print and sil!;ll at bv..v~)
ADDRESS
! SC;-7--D
tN \ ltLwaa{
{'V'
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ZONING (office use)
IZ/ -ill
LEGAL DESCRIPTION (office use only) fIi I /J A
LOT LI BLOCK~ ADDITIONW ~ ~
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OWNER V (
(Name) f\.e..V\?r F M~ V) V\
PIra5- () J I-I) /5-()
(Phone) qSd~-~?J.J
(Address)
BUILDER (' J ^ ."
(Name) :Je I ~ K ~O'l- I V) ~
(Contact Name)
(Address) 4 r (Jc:f- l? K c -e ( s. ( \ l) ~
(Phone)(nl). -?) ~g(JL1 (~~
(Phone)
o Lower Level Finish
o Fireplace
OAddition
~ROOfing
OAlteration
ORe-Siding
OUtility Connection
TYPE OF WORK
o New Construction
o Deck
OPorch
o Misc.
PROJECT COST IV ALUE (excluding land) $
s;-~ ~ I)
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 prvl',;..~j 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
;terupoSeIP~~nspections. /0 'S7\ IJ.../{;"'-(j ~
Signature Contractor's License No. . f Date
I Permit Valuation C}QJO/ ---: I Park Support Fee # $
I Permit Fee $ iq,'!J6 I SAC # $
Plan Check Fee $ I Water Meter Size 5/8"; I"; $
-"'
State Surcharge $ I~ rJ.S I Pressure Reducer $
Penalty $ I Sewer/Water Connection Fee # $
Plumbing Permit Fee $ I Water Tower Fee # $
Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ lather $
I Gas Fireplace Permit Fee $ I TOTAL DUE $ 7~ . {TU
7' I'fD ci d4l, " 7
This Application Becomes Your Building Permit When Approved I Paid . ft::>, Receipt No.
I Date I v /~- (:7-.... By (), Q -" ,
(J
Building Official 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
DATE TIME
ADDRESS
/5570 WIL//WOOO elK...
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
eo{)F
z-1503
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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[)/NORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
yty? 7/{~-(J7
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl