HomeMy WebLinkAboutBldg Permit 02-1097
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT /7
CJ~- !tJq,(
I. White File I PERMIT NO
2. Pink City . ~_ i.
3. Ye\low Applicant l.LJ:J< "
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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 a at th uilding official c~ re,e this permit for just cause. Furthermore, I hereby agree that the city ~ffi1_ or} designee may
;terupon theprope 0 perf< ded', cti#/~~. oL tJ Jd / L/ .71 9 /'1 jdd--
- / C /~
I
". ~~tJD...--J I Park Support Fee # $
71./.1~ I SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
# $
# $
$
$
$ 7t,,'-"-
(Please type or print and sign at bv.."~&)
ADDRESS
/")/08
qdJdftfo
LEGAL DESCRlJ:" lION (office use only)
LOT ~ BLOCK 3 ADDITION / I ~() e sf-
- (} -
l~+-
... .. .. .....K
ar
(Address)
~~
/1/lcf
~tu-.~.
~AIr'~
)ibyA/n
(Phone)
~ _.....~ //A.. l" ~ /~
........ ._u&_r ..H'/~~ ~. JO, ~ (
~ _~e) ~A~ A1tJA> $
~ /e:<d--fJ W~/~.(
;~/-;J
TYPE OF WORK
o Deck
/ .
OPorch
A
~RoOfing
OAIteration
o New Construction
OLower Level Finish
o Fireplace
OAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
I
/
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
$
$
$
$
$
$
$
$
/ ...';)..,5"
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
~1'"7)
I Paid 7(b'\'/v
I Date '1- Lf-O~
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Building Official
Date
ZONING
~
PID d~-:JJ?{)- 03~
.;;
~9- - ?'~?~
, ~
ORe-Siding
OUtility Connection
Receipt No.ij J..-t /1
By ~
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, ifany
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 NO'-'CE ,~HEDULED
ADDRESS ! II q q.6 I 7 I 0 ~ fro YOt/l 1--0
DATE
TIME
A-~
q~L{
~
PHONE NO.
'LAoNTR.
PERMIT NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION ~
.&Jq=tNAL r'!
o SITE INSPECT ..
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
QJ., /(J9~ tf -v , :~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
OWNER
l ,
I ,,0 )0+-i':~
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yJ Vii) tV.v r-KF 1" \ f? e t:-- ~ i (/Y\
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II WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT "'f1~'" CALL FOR REINSPECTION BEFORE COVERING
Inspector: fVT( q -L& VI.-.. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl