HomeMy WebLinkAboutBldg Permit 02-1096
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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2. Pink City
3. Yellow Applicant
Date Rec' d
PERMIT NOG?~_ ({) U
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LOT ~LOCK ~ ADDITION
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TYPE OF WORK
o Misc.
o New Construction
DLower Level Finish
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ZONING (office use)
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o Deck
Jf:e-RDOfing
OAlteration
DPorch
o Fireplace
DAddition
ORe-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 a e t the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the prcyiooo; to perfO~d insp~s. /J'/ / c:J-C1-t::J54517 . // /
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$ 7#, is-
$
$
$
$
$
$
$
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
PROJECTCOST/VALUE (exc1udingland) $
I' cJ-'S
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I WaterTowerFee
I Builder's Deposit
lather
I TOTAL DUE
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Receipt No... J/7J i 'l
By rp.__
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
I Paid
I Date
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
DATE
TIME
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CITY OF PRIOR LAKE
INSPECTION-WOTICE
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SCHEDULED
ADDRESS
PHONE NO.
PER
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
JoilCFtNAL r
o SITE INSPECli j
COMMENTS:
o PLUMBING R
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
GRAD/FILLING
COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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II WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~~' CALL FOR REINSPECTION BEFORE COVERING
Inspector: (Vr q -L(y- VI.-.. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl