HomeMy WebLinkAboutBldg Permit 02-0886
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY-CERTIFICA TE OF ZONING COMPLIANCE
, AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3 . Yellow Applicant
(Please type or print and si~ at bottom)
ADDRESS
J~92- 9 /I ,tV).dl:;,/24L-I7:O~
CA /2../
LEGAL DESCRu' HON (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
(Phone)
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Date Rec' d
?,,/7r02-
PERMIT NO. () z,. - 06e~
PID
ZONING (office use)
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,
(Phone)
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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 at" fficial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;"'""00 th P<rtY ifu= . . :z 6 11'1 877 -; j, ;"/"2.. _.. '.
Contractor's License No. ~-- .. =--
# $
# $
$
$
$
$
$
$
$ 7IP-O ()
TYPE OF WORK
ODeck
.
~Re-ROOfing
OAlteration
o New Construction
OPorch
OAddition
OLower Level Finish
o Fireplace
o Misc.
PROJECTCOST/VALUE (exc1udingland) $
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
I Park Support Fee
I SAC
Water Meter Size 5/8"; I";
2., :;s-t; () I uV
$ 7 -/' -rr-
$
$
$
$
$
$
$
{, Lor
Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
~er ~
,,-l!_OTA~ DUV
Paid 9(" 0 V
Date ''1--/9 -II C--
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~ 1 0' I , .. lJ-z..."
Building Official Date
#
#
<;'\ "C-/L/?
ORe-Siding
OUtility Connection
J
Receipt<<O~ ?
BY'!1f
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 PRIOR LAKE
INSPECTION NOTICE
SCHEDULEQ
A,r;
ADDRESS
113 e;) <:J
OWNER
PHONE NO.
PERMIT NO,
o z,.-88~
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
" FINAL
o SITE INSPECT N
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 GASLlNE AIR TST
o
COMMENTS: ~
/
- -
~~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'""pector. bt QwnerlContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI