HomeMy WebLinkAboutBldg Permit 02-1457
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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LEGAL DESCRIPTION (office use only)
LOT 3~OCK ADDITION
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(Name)
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(Address)
Date Rec' d
~. ~i:i~e ~:;y I PERMIT NO. /'>.J,") -j/ /5/!
3. Yellow Applicaot V.:?\ 7
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TYPE OF WORK
ODeck
o New Consttuction
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OAddition
o Misc.
OLower Level Finish
$
$
$
$
$
$
$
$
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This Application Becomes Your Building Permit When Approved
Building Official
Date
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o Porch
~-Roofing
OAlteration
ZONING (office use)
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PIDa 5", It! J.. - O.d5-G I
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#
#
#
#
ORe-Siding
OUtility Connection
$
$
$
$
$
$
$
$
$
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Receipt No.1-{ d.-V/ "2-Lf'
By ~.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 Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued,
I hereby certify that I have furnished information on this application which is to the best of my knowledge ttue and correct. I also certify that I am the owner or
authorized agent for the above-mentioned p operty and that all consttuction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the bu' ing official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
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I P'ermit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
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 TOTALDUE
I Paid
I Date
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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
DATE TIME
CITY OF PRIOR LAKE &/ k /
INSPECTION NOTICE SCHEDULED ij~/ tiC;.......
ADDRESS / S S ~ < /& d L9c;;? Ls
OWNER CONTR.
PHONE NO.
PERMIT NO.
~2-/~S7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
""ff"FfNAL
o SITE INSPECTION
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
COMMENTS:
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/"" nORK S~ II~rACTORY. PReeccr.
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C~L ~EINSPECTION BEFORE COVERING
Inspector: M/j' ______ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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