HomeMy WebLinkAboutBldg Permit 02-1453
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
(Please type or print and si~ at bottom)
ADDRESS
/t7t5 /j);)/()W L>ne 5tJ I fr/or ~ke., mJJ S-S37r
LOT
BLOCK
LEGAL DESCRu'uON (office use only)
ADDITION
OWNER
(Name)
Ky dt1 "" /..i; ura- If uder
/6765" M1/()w bfJ(!' S w)
(Phone) 95')..- /I'I()- 583'1
if/or Lakfl., mAl 5537';)-
(Address)
BUILDER <: d /l J .
(Name) )dn au l dY/S1rUC. nOrJ
(Contact Name)- --.fJ /rJ/ne l1la55et;,
(Address) 3010 East- 'f~ IIvel7l1e) 5h,,1konee /)1!l/
· I'
TYPE OF WORK
o Misc.
C.
J
o New Construction
h>?
(Phone)
(~
::;!J:5/
ODeck
o Porch
ORe-Roofing
Date Rec' d
II"/,Ol,/
PERMIT NO. () Z -'/453
ZONING (office use)
PID ~ue- ~.-()
9.52 .. L/<J3 -9/00
95;} - '103 - 9(, 00
OLower Level Finish
o Fireplace OAddition o Alteration
PROJECTCOST/VALUE (exc1udingland) $ IV III
~Siding
OUtility Connection
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
;ter~e~dinSpeCti~ , & _ 725/ //-01-02-
'--- Signature Contractor's License No. Date
I Permit 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
Z,500.00
$' 74--~ '7S-
$
$ /. zj
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
arM ~ If-I- 02-
Building Official Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
'l(,.O ()
/1' / - c) 7
# $
# $
$
$
# $
# $
$
$
$ 7h.oO
/I
tf.+~
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, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/(.7~s lA./irl(JlV L.V{
;
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RJ
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ME~H F1NA~
~'d'~
(
~
COMMENTS:
DATE
TIME
~
/l.. L..
,,2. - / tlt"3
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ 'ita I ( f-tr m't1(,~ 1
htltlSr f]t/W) ~s
I
< - / 6~p
elr
1-, Le
I .
Il WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~CWORK' C LL FOR REINSPECTION BEFORE COVERING
. I J-: rP----
Inspector: I ;.. . . Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl
"~^"' --' "---_._.,~,---~~'"~._~