HomeMy WebLinkAboutBldg Permit 02-0923
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
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Date Rec' d
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I. White File I PERMIT NO
2. Pink City . d Z - 0 &,., ?
3. Yellow Applicant 7 V.-/
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LEGAL DESCRlt'nON (office use only)
LOT (oBLOCK I ADDITION B/ZnCfVIu.,6 ~ 4nl
OWNER
(Name)
(Address)
(Phone)
BUILDER 1.( 4f?O/ ^ I
(Name) ~
(Contact Name) ~ fuL.L7R.
(Address) ~ t.[B7U Auf ~ So. hPLS) #<11
TYPE OF WORK
o Misc.
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o New Construction
o Deck
(Phone)
(Phone)
l59/0!"
o Porch
OAddition
~e-ROOfing
OAlteration
ZONING (office use)
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PID 25- ()z'I-Od{'-O
/qjJ.-1~(l-qJos
ORe-Siding
DUtility 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
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~re Contractor's Lice,lse No. Da
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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
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
2,500. 00 I
$ , 'I". 7r I
$ I
$ I, 'J..-r'"
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Jl~
Building Official
7" 'V, " ()"'Z./'
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
I Other
I TOTAL DUE
Paid ,/ ,,, V() .
Date -;1,1/7"" 2..-",
# $
# $
$
$
# $
# $
$
$
$ '7t" r/U
. ReCei~ ~ZS7~
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 for all inspections (952) 447~9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
DATE TIME
CITY OF !fRIOR LAKE
IN~ECTION NOTICE
SCHEDULED ~I../~ l~
hil~
ADDRESS
t~i{tfO
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- ,qt-J
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o ~:Jt-TST
;r~
COMMENTS:
.-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
Inspector: . ~ Owner/Contr:
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
/1/SNOTl
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