HomeMy WebLinkAboutBldg Permit 02-1069
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3 . Yellow Applicant
Date Rec' d
,
".
I PERMIT NO. t2c2 - 1 a 67
F.
(Please type or print and silm at bottom)
ADDRESS
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IS 7tLj-
LEGAL DESCRIPTION (office use only)
LOT hLOCK d--ADDITION ~CVncJ, V~(j-o-
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~e) /lY:;.J...... /i>~..\-~~./I ~,~~ (Phone)
(AddreSS~ 2A, ~fJL,<-; ~/~~//~ ....<.57cf.y' /:..;;+tc..... r-
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(C. , ~L./)
........ 770 ~-.d/? ~r 5' ~.R,,//(
ZONING (office use)
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PID.:;2.S "';2'11-0;2tjz:>
(~.;) OJ(; 7... 7/' 7"7
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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-mentione perty 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 u' g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
exnter upon th4.0.pertyy~ . :e_ inspections. ~ ~ L /_ ..
/ ,P ~,;??, ,~ :;';d 'f-t,Y ~.. d-'/.70' "....
I Permit Valuation dSOO,,---1"' I Park Support Fee
I Permit Fee $ 74, '1e;- I I SAC
I Plan Check Fee $ I IWaterMeter Size 5/8"; I";
I State Surcharge $ / ..~ 'Z) I I Pressure Reducer
Penalty $ I City SAC and WAC
Plumbing Permit Fee $ I Water Tower Fee
I Mechanical Permit Fee $ I Builder's Deposit
I Sewer & Water Permit Fee $ I Other
I Gas Fireplace Permit Fee $ I TOTAL DUE
_~~-- . ccJ
I Paid , I
I Date .... d-Y'7);}-.
TYPE OF WORK
~Roofing
OAlteration
ODeck
o New Construction
OPorch
OLower Level Finish
o Fireplace
OAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
This Application Becomes Your Building Permit When Approved
Building Official
Date
#
#
#
#
ORe-Siding
OUtility Connection
$
$
$
$
$
$
$
$
$ '7~ ,00
Recei{>tNo. l/~ j~ ~
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, if any
24 hour notice for ail inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~...
~
.
.cITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
B:Zi -07 f}J-:
, .
ADDRESS ~c[ h~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O~- (1)j,'t
o FOOTING
o FOUNDATION
o FRAMING
eJ.!'ISULA T~N t-
~INAL O'J
o SITE INS ECTION
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 GASLlNE AIR TST
o
COMMENTS:
lIic;ueJ. .[;.1\1""- c.... t "tJl~
1\JD ,()~ oj C:;b
....
ORK SATISFACTORY, PROCEED
CORRECT ~C N AND PROCEED
COR~C (0 , CALL FOR REINSPECTION BEFORE COVERING
Inspecte. : . OWner/Contr:
CA L.4 ~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~QUlREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFET~!
INSNOTI