HomeMy WebLinkAboutBldg Permit 02-1149
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9- /2....02-
~. ~i~~e ~::y I PERMIT NO.O ? -1'// fa
J. Yellow Applicant (;r I 1-/
(Please type or print and sign at bottom)
ADDRESS
'-t, 4/ llltS 13Eli'l rZI 49 E ILD40t Ai
I
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
OWNER
(Name)
ku...-Ic
Lf/1/
(Address)
ADDITION
kA-fhA-tJ
iZ/k58~v
I
ZONING (office use)
PID
/2tdSE lOl9-d AJ
(Phone) C;s 2. Z2-~, 38'8
BUILDER
(Name) UA-SSlC {ZOO Fs .:r:NL-
DM-h V I-fA.rV7 b 12.LL/~
,
/ 7~ A-vC.s /3C{~.s II / / /L
(Contact Name)
(Address) J 2-0 0 0
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
(Phone)
(Phone)
qs-z. ff9SrZ/8
9 S-2-8'tt S 92 7(P ~K'
,
/YI;t/ 55337
ODeck
~-Roofing
o Porch
o Fireplace
OAddition
OAlteration
~-Siding
OUtiIity Connection
8171. OO~y
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 uportJr to P7 .:p:e1~ections. Z-- 0 1& 31 ~ <;? 11, 2-1 () z-
5 SignatureC/' Y' Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
PROJECT COST IV ALUE (excluding land) $
Zt500.()(}
$ 7e1 7 ~
$
$ /. If
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
J2IH1-
Building Official
q - 12 - (., 2.--
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 7&.0 [,I
I Date tl-Il- -6 Z--
# $
# $
$
$
# $
# $
$
$
$ 7& . 0 0
ReceiptMo. ~ ~ fJ4-0
BA' -1.
(~'
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
INSPECT/ON NOTICE
ADDRESS
4/4(
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
I(J-~-()L
(2fJs.JJ':H~r\f (Zfd~,. /Z d
I
CONTR.
PERMIT NO.
1) ;)..-1/4 C(
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 GASLlNE AIR TST
o
(20()~
5.iJiV!
(/
/ . l-',{-{
. oSe --\
L/'
~ORK SATISFACTORY, PROCEED
b CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /!if 10 -~ -OZ- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Uf$NOTI