HomeMy WebLinkAboutBldg Permit 02-1102
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
(Please type or print and siJtD. at bottom)
ADDRESS
I~eo 8 WIl/(.,tlLA/ uq,AJG
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name) ~"'-
(Contact Name)
(Address) t::{ 700
k?~fi'~
...../
M~"c...
13-'" Ae
TYPE OF WORK
o Misc.
AI
o New Construction
OLower Level Finish
(Phone)
9-5-02-
PERMIT NO. 02- - 110 Z-.
ZONING (office use)
PIDZ5- zffJ-oze-D
(phone) 7~ 'j-6f//~03or
(Phone) '0 -;.J,.-V;s5"
~p SS'iV/
Pl~~~
o Deck
OPorch
~e-ROOfing
6~teration
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
ORe-Siding
OUtility Connection
5, ;;) 5"'0 tJfJ
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 upon the property to ~ded inspections. ~/ 5~ I!:j-~--a:,l.
Signature Contractor's License No. Date
Permit Valuation
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
$
$
$
$
$
$
$
$
Zf ~O(j.UO
'/ t../- ~S-
---
/- z,j
~
This Application Becomes Your Building Permit When Approved
~')'Qt.-
Building Official
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I WaterTowerFee
I Builder's Deposit
lather
I TOTAL DUE
I Paid
I Date
7 ~ (IlJ
l' r-. u-z.--
# $
# $
$
$
# $
# $
$
$
$ ~,. C/U
II
Receipt !>fo. q-700 ~
BYe)
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
SCHEDULED
ADDRESS
/6?CJY tvJ/~'-V
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTION
COMMENTS:
/l /)
/U/007
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE nilE
-l1/ os-
c::J,J-//02-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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Lopw /t'er~
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I /l ,-;
'- geJse /? le.__
~ORK SATI~V"" PReSEES
o CORRECT ACTION AND PROCEED
o CORRECT WORK/ ~~ ~EINSPECTION BEFORE COVERING
Inspector: y~ ~Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl