HomeMy WebLinkAboutBldg Permit 02-1224
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
P-3~-02-
PERMIT NO. ()2 - /2 z4--
(Please type or print and sign at bottom)
ADDRESS
/~~/4- ~~/V.o GG
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
-
V /t- .J t;;
-;J;.J-{- J G'Ct-c1 e/,)
V
u"Mbr/ ir/lP CJ 'rc/r}" ~
I ...
~;~~R DR i?J.p.JJe/f~ ~)(1 ~.
(Contact Name) keF/' ~ -,1;-" Olf-V~
(Address) Ij~59 HirWJ'5: ~J '/ IV e
OWNER
(Name)
(Address) / t: 01 'f
TYPE OF WORK
o Misc.
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
o New Construction
OLower Level Finish
(Phone)
#1 '~r L~/c-~
ZONING (office use)
PID 25 -0/4- - ()(;J(R - U
(PhOne)(9.>Z) 1/i/7, 7~J>J
(Phone) (;,11. tf5. 71.7/
ODeck
DPorch
~e-ROOfing
o Alteration
o Fireplace
OAddition
PROJECT COST IV ALUE (excluding land) $
.---
/- ~!
Th" 1iJYif Yo~ BoilWng;: ;~~ 71:
B"uilding Official Date
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
:7"-- propertytoperf~r~ 2JJ23-g~3'3 'tAp/#l/
---- Signature L. /
2/~OO,OO
$7<1. ZJ
$
$
$
$
$
$
$
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
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
"i~.uU
1~~O- 07--
#
#
#
#
ORe-Siding
OUtility Connection
Date
$
$
$
$
$
$
$
$
$ f(P.OO
Receipt/;;) +.307Q
By / ' .
U~
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
DATE TIME
SCHEDULED
J/ - i.{
f}-/r
ADDRESS
I G(J/4 C aIM ~~;-d'1r_
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
)-1)). (.,/
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
fZ-~ - r()()p ~
( ,iJ/ )
---
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F; <"..e
JX WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~~CALL FOR REINSPECTION BEFORE COVERING
Inspector: / V , / 1(- 1.1 ' rfl-owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSliOTI