HomeMy WebLinkAboutBldg Permit 02-0955
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File I PERMIT NO 9 ~
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LEGAL DESCRu'uON (office use only) ,
LOT BLOCK ADDITIONJr/\ ~:~ ;:::t~J/t,. ~
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(Name)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
. 0 Misc.
o New Construction
ODeck
ZONl.NG (office use)
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PIDdS/133-075-()
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Pr"o'f hl\. k~ ) M IJ S-~32L
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(Phone)
(Phone) ~--
o Porch
ORe-Roofing
~-Siding
OUtiIity 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-mentio d property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I a~,~:;:l:at th u'.' g of!icial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
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~ J; -. , 8' Contractor's License No. ~
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I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
$
$
$
$
$
$
$
$
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This Application Becomes Your Building Permit When Approved
Building Official
Date
DAddition
DAlteration
#
#
#
#
$
$
$
$
$
$
$
$
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. Receiet No.
By ~ .-'
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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
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
Other
TOTAL DUE
I Paid
I Date
7(0 , C:;X)
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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
SCHEDULED
DATE
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nilE
ADDRESS
;27.33 .s;;r.;~~ ~~e
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CONTR.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
COMMENTS:
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PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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,
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o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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/,-WORK SA TISFACl UK' , I'KU~t:t:LJ
o CORRECT ACTION AND PROCEED
o CORRECT WORK, .:~L~REINSPECTION BEFORE COVERING
Inspector: ~P"r Owner/Contr:
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH &I SAFETY!
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