HomeMy WebLinkAboutBldg Permit 02-1037
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2l1 at bottom)
ADDRESS
Date Rec' d
I. White File I PERMIT NO i
2. Pink City . -'11 .- ''0 '2
3. Yellow Applicant UC7' , j ../
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LEGAL DESCRIPTION (office use only)
LOT
ADDITION
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BLOCK
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(Address) ;) 7 Ct> 0
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
ZONING (office use)
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(Phone)
(Phone)
o Deck
OPorch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
OAlteration
~e-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~ ~. that 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 proper wp Iform needed inspections.
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I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
J. d.-S-
I Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Building Official
Date
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid
I Date
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# $
# $
$
$
# $
# $
$
$
$ 7~ ,--
ReceiPt No. CIa /7c...j
By ~
. This is to certify that the request in the above application and a.w..."anying 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
ADDRESS
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
-et"FIAAL
o SITE INSPECTION
COMMENTS:
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DATE
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CONTR.
SCHEDULED
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~WORK SA~~RY, PR9GEEB
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~.----
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Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/JISNOn