HomeMy WebLinkAboutBldg Permit 02-0877
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ADDRESS
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
7-17-a 2-
"
PERMIT NO. 02-de7 7
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LEGAL DESCRIPTION (office use only)
LOT t;;" BLOCK J ADDITION ...f A?V J::)
OWNER
(Name)
(Address)
,r ..:J ~
PID US - 2.1 if- - 02.-' .. tJ
(Phone)
ZONING (office use)
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BUILDER 7"'._ J / J ~ 'J t
(Name) Ud-Ve .~l?uT..~Oh v I , hg (Phone) ~/-tf57-~7 J OL
(Contact Name) O:llJ' e ~ f<:t:>n J (Phone) cell '-12 71./7- J3[?~
(Address) /o~/- .JI~II Aile- \,{)srPO>.u! IlM/ .~s-//S?
TYPE OF WORK
o Misc.
o New Construction
o Deck
OPorch
OAddition
ORe-Roofing
OAlteration
~e-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
for the above-mentioned f-ovy...o;f and that all construction will conform to all existing state and local laws and will proceed in accordance with
s. am aw e buil' 0 lal cili'revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
pr ertt to erform eede . ..
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
x
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
Contractor's License No.
$
$
$
$
$
$
$
$
z., ~IIU r eN
'7'f. 1)"
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
Pressure Reducer
#
#
, .l..!)
City SAC and WAC
I WaterTowerFee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
7-/7-0 Ii?
Date
$
$
$
$
$
$
$
$
$ 7ft;. VU
This Application Becomes Your Building Permit When Approved
(A'ik)
"}- 11.....' '7
Date
I Paid
I Date
?~ . (/U
""7 - /1 '"fJ-z.-...
. Re7Me.ip ~z-e
By .
"
Building Official
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, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
ADDRESS
11("C;
DATE
SCHEDULED ~Ot...
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T\ ..
AT. ....
CITY OF PRIOR LAKE
It"ISPE:CTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO. tJz, -g7 7
o FOOTING 0 PLUMBING RI
o FOUNDATI~O 0 MECHRI
o FRAMING 0 WATER HOOKUP
o INSULA TIO 0 SEWER HOOKUP
J!! FINAL 0 PLUMBING FINAL
o SITE INSPEC 0 MECH FINAL
COMMENTS: ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
I
~ -
(l~ /~
I
i,
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~A~L FOR REINSPECTION BEFORE COVERING
Inspector: f -7 ( Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
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