HomeMy WebLinkAboutBldg Permit 02-1360
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDRESS
C; ~ \<'6 3(Ojk5 (\((1-
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LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
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S~lg ~{~ks C~{'(k, ~.~
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
L White File
2. Pink City
3. Yellow Applicant
10 ./'i-a 2-
PERMIT NO. 62-{]rcO
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(Phone)
Pit ';y L1\ hv
(Phone)
(Phone)
DDeck
~Re-Roofing
PID
ZONING (office use)
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9~c'J _~.~ l& <{; --
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~Re-Siding
DUtility Connection
o Fireplace DAddition D~ation
PROJECTCOST/VALUE (excluding land) sif>...J01 QUO
DLower Level Finish
DPorch
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
enter upon the property t7 PJrform needed inspections.
X (~"'~. 'H?/I.-y'y",~. :- '-;;. 0 I b 0 7 II / 0 . / &) 0 d.-
.,.__...,,:") I' Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
United consuucrion IUl;.
1725 Lake Drive West
Chanhassen, IvIN 35317
o New Construction
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$ f 7<1. 1 s--
$
$
$
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$
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This Application Becomes Your Building Permit When Approved
IL/J/II"
Building Official
tU'I'7,/V
Date
_$ 7(, -t/V
/
. ReceiPt bJ.e{ ~7l U Y
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I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
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#
#
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$
$
$
$
$
$
$
$
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
.'
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
SA/Y Ms ~/-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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DATE TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT,A~;?' CALL FOR REINSPECTION BEFORE COVERING
Inspector: 11f!' / I- JO-oL Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI