HomeMy WebLinkAboutBldg Permit 02-1007
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
B - /tj~tJZ-
(Please type or print and silm at b_::.._)
ADDRESS
, '11 ~ ~ SLvlS-eA- ,- t2. .
.5. w.
LEGAL DESCR.1J:'uON (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
LA); II Star J J ~
J118;L S~/~~
a-W,
(Address)
BUILDER .
(Name) AfJ~-"- ~ Cn.
(Contact Name) ---..f);JvJ I a
(Address)
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
1. White File
2. Pink City
3. Yenow Applicant
(Phone)
PERMIT NO. 02--10 e7
ZONING (office use)
PID 2.5 -/34- - IJ 0& -0
Cf'5J.. - J-~-':J--;).. 70
(Phone) 551- .~ 'i 1-ltJl?
(Phone) &; J,2 ';)-D4 I; lP 1
o Deck
o Fireplace
~ROOfing
OAlteration
OPorch
OAddition
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
5;,Df). D()
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
;terupon~t==ections. .;;LOO'-l J-;L87 Jh s / ()2-
~ignature Contractor's License No. Date
Permit Valuation d) I Slf1J . VU
Permit Fee $ 71--. 1';-
Plan Check Fee $ -
State Surcharge $ I . z-'J
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved I
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Building Official Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
7&'.UV
1r1'1.cJ7
$
$
$
$
$
$
$
$
$ 7(p. () 0
R.eceiPiJ.!lJ A.? ~.5l)
Bv~
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#
#
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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, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NG>>TICE
ADDRESS
/7/rJ-
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
DATE TIllE
10-3
/1-, ;
~ U/t Hf-- T.....-t
2. -lod7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
17l
\' /
~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~ff' CALL FOR REINSPECTlON B. EFORE COVERING
Inspector: yvr \ D J - Ol-Owner/Contr:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!