HomeMy WebLinkAboutBldg Permit 02-1130
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND U'!ILITY CONNECTION PERMIT
Date Rec' d
9-//-1/2-
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. 02- -1/3 U
(Please type or print and silUl at bottom)
ADDRESS
f/g9 jP{/t'/ffmJ/
ZONING (office use)
~Z.Jp
LEGAL DESCRlyuON (office use only)
LOT q BLOCK / ADDITION LI4'i:.-GJ' I OE
PID2~- /85 -Od9 - 0
OWNER
(Name)
(Phone)
(Address)
BUILDER . f:
(Name) M~Jwe~ + \)m~' I
(Contact Name) tv\\+~", D-V-e
(Address)
feL\~+-
(Phone) ((,/'2) Z~() - 5"'180
(Phone)
'tl\85
I [) I
6'5371d
5~v~3eJ
w.
M'^-..
~e-Siding
DUtility Connection
TYPE OF WORK
o New Construction
DDeck
DPorch
ORe-Roofing
DAlteration
DLower Level Finish
o Fireplace
DAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 a; ~~~e building offici can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~terupon~~ nee~s 'o~ q~I/()Z-
, ( - Signature l/ Contractor's License No. / Date
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 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 I f7Ju. ell)
7c!lJ---
$
$
$
$
$
$
$
$
--
--
/. ~ J
#
#
7". (1 0
I Paid
I Date
7&.UV
9'- /1- () -z-
. Re{}eiPt No. 4- 7072-
By .
~. .
This Application Becomes Your Building Permit When Approved
I-lid -z-.
}/I~~
Building Official
Date
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
DATE
TIME
J/-:T
SCHEDULED
q-l3
ADDRESS
4/ ~C( PI(,6S~11 t '
OWNER
CONTR.
PHONE NO.
PERMIT NO.
2- J/36
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION , I
~ FINAL ('( S IdC"c\)
o SITE INSPECTION!
COMMENTS: -\
\:../
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
(
(___lOX
'-"
rit L
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ C{- fy07- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl