HomeMy WebLinkAboutBldg Permit 02-0994
(please type or print and sign 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. YeHow Applicant
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LEGAL DESCRIPTION (office use only)
LOT ~LOCK a ADDITION ~
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o Misc.
o New Construction
OLower Level Finish
Date Rec' d
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PERMIT NO. 0 r')t'1 II
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ZONING (office use)
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(Phone) ~1.1) 2-9/'P
(Phone)
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DDeck
o Porch
DAddition
lDP A Roofing
DAlteration
PROJECT COST IV ALUE (excluding land) $
o Fireplace
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 erty 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 b . g o~cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;terupon theprope~~~uu ue mspectlons. )0 ( yC{7 5 G ~ -I f ~ 0 ~
/
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
~OO,.-/
$ 7t/r15
$ / ~5'
$
$
$
$
$
$
This Application Becomes Your Building Permit When A...._ ~'ed
Building Official
Date
I Park Support Fee
SAC
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
I Paid
I Date
7" ,00
q- /?r IJf).,
# $
# $
$
$
# $
# $
$
$
$ 70 --'
Receipt No. tta 7 "33
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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 k......u...ry 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
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/5 tG?3 ~&~L I~ RJr
CITY OF PRIOR LAKE
INSPECTION fo(OTlCE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING @
o FOUNDATION
o FRAMING
o INSULATION
rI FINAL
15 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
R-t .
fRfJrrJ-Q ~
DATE TIME
02 -?7'y
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~, . Owner/Contr:
CALL 447-9~;loR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI