HomeMy WebLinkAboutBldg Permit 02-1054
(Please type or print and sism at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
~ -A ~;A.I.4 fJ dt/Y}-J- K2t
~vo-;/(/
~-f. t9tl71/kJ/'
{/ u
J~37tJ
LEGAL DESCRIPTION (office use only)
LOT fir>> BLOCK! ADDITION
_.......,..-
T .
(Address)
Jt.;::r
1539t)
WII JTf-
8fl&~ 1. V
/?t,,~r ILI)-
'1J___IlEK ~ V ......r'"':lLL:."-' . I
f' --..J ....j~. J 0 ~r 5~1'-/
~me) r ~A-"
,
(A_m.]~)
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
Date Rec' d
.
"
PERMITNO.I.2~_1050
ZONING (office use)
,Jet 5 f)
PID ~/ D CI1- /) .3/-0
(Phone{:;5"Z--~tl7- $"'02.0
~ ,?~1---?f' ,.. 1- 2/ f'
~r u~.~
(-'"no' f'l/Z-3Zs-7-z.e, 7
o Deck
o Porch
ORe-Roofing
OAlteration
PROJECTCOST/VALUE (exc1udingland) $
o Fireplace
OAddition
~-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 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
~te~~rm needed inspections. 2" Z-oO?g- -L- 8 /L~ )(1 L
~ , ~ __,,~Y~LV' . .....~~..L 111" >-_ ....,y~
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
.
"d5ro ,--
$ 7t1,1t-)'
$
$ I" bL5
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
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 Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
- /J{l ,vO
(1'-" d <i(--() J
I Paid
I Date
~
# $
# $
$
$
# $
# $
$
$
$ 7(,,~
, Receipt No.i/i7/-7 ~ 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 Cor 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
/s;sw &~e't.'-l (P~.
"
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
-erFINAL Sit:l~~
o SITE INSPECTIQJIII
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
I
1
.
l
DATE TillE
9"s.oz ~
~ -/tJS'f
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~RK SATI CTORY, PROCEED
o CORRE ACT AND PROCEED
CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Contr:
C~ L 4J.9~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/'"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl
.(,,~