HomeMy WebLinkAboutBldg Permit 02-1215
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS _
.5-0 ~O rt'tJ"e S I .
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
(Address)
ADDITION
BUILDER A }
(Name) IV e)'r4- hE!..>r ""'-
(Contact Name) :s L (H-o\-
(Address) I
240 c\.o..'j!O~0
TYPE OF WORK
o Misc.
r;-Z5-0L
~. ~i~i~e ~::y I PERMIT NO. A? ..-IZI''-
3. Yellow Applicant U V I, :;)
(Phone)
1:)( \-'€J "DC 5> MN 7,^c
\ ,W\MQAVV''''-!
s~
~ + 7~_'
(Phone)
(Phone)
mA/
S-~ 107
ZONING (office use)
PIDt'S- - ofJlc,- tfo 2- - 0
~ 1"[-5-' t-f 1) ~
~e-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
enter upon he :;Ilperty to e~ded inspections.
-/ 9-z.s- 0 L
X . I v----
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
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o New Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
o Alteration
$
$
$
$
$
$
$
$
2.6lJU.OO
1'1: 7)"
-
(.~(""
This Application Becomes Your Building Permit When Approved
tZh1A--
Building Official
q. Z("'01--
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
City SAC and WAC
Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid
I Date
~fn.Iro
a..z S-O 7 ~
,
#
#
#
#
$
$
$
$
$
$
$
$
$ '1tp.O V
,
II
Recei{)tNo. 4-.?CJ7'~
0-'
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
~G)io
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,lirFlNAL
o SITE INSPECTION
COMMENTS:
/J .--' /-
/Les,de
SCHEDULED
~e
/
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ / /
( C'/A&-?~ /e r-~
~
DATE TIME
,aLL~/
7 '
0,.2 -b(/S-
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~~~R REINSPECTION BEFORE COVERING
Inspector: /~~ Owner/Contr:
CALL 447-985Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl