HomeMy WebLinkAboutBldg Permit 02-0861
(Please type or print and silm at bv.."~)
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
2. Pink City . /l:> _ Cv _ I
3. Yellow Applicant C/ 0\ a ~
I</O/~
r1amdlt:.-~
1lLA/
........
LEGAL DESCR1r lION (office use only) 0
LOT 7 BLOCK I ADDITION ~A1 d-. ~
OWNER
(Name)
(' 0,..
(Address)
11./0 /1,
N~' So('\
C 4~J{t" W c.>.o P
.1ft/\-
PID ~S-- c;;l/S- CJ07-o
ZONING (office use)
PUD
(Phone) $..1) {/1_
Plto r (a(, .
{' ,"'r
BUILDER U ~ J} f\ ,
(Name) r\~~ ~ClA-/'^<i
(Contact Name) 'l.....J~ct...f/o....'" v y ~t~~X:4
(Address) 9' ~ i ( f Jcs-~ \" ?...0 ~~
TYPE OF WORK
o Misc.
o New Construction
o Deck
t1- \ <f-
(C,f!l) ~) g.- 3 cr 11
~ -
(Phone)
(Phone)
t\N
o Porch
OAddition
~ROOfing
OAlteration
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 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
~ter upon the pr:t:ipe~ a:.t..u 111'V~<:uons. . ~C _ ~O:J.. Q. ~i) f ~ "J. _I J> 0 J.....
. Signature Contractor's License No. Date
I Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
OLower Level Finish
o Fireplace
PROJECTCOST/VALUE (exc1udingland) $
$
$
$
$
$
$
$
$
~
;;2 5lJeJ ,- I
/LJ,. 71) I
I
I ~dC;-
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
I SAC
I WaterMeter SizeS/S"; I";
I Pressure Reducer
I City SAC and WAC
I WaterTowerFee
I Builder's Deposit
I Other
I TOTAL DUE \
$- I crt)
~!O/t;'-fJ:r
#
#
#
#
$
$
$
$
$
$
$
$
-I'>
$ ---/?, r U'-
. Coil
Receipt No. "f d J /t...p
1('/
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
I Paid
I Date
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
DATE TIME
CITY OF PRIOR LAKE
INSPECTIO~ NOTICE
ADDRESS
/Lfdl ~
SCHEDULED 7/:> 3(O'Z..
~Oi"~
A~-',
OWNER
CONTR.
PHONE NO.
PERMIT NO.
{)2--9"l
o FOOTING
o FOUNDATION
o FRAMING (5J
o INSULATION
'Q, FINAL
'ff SITE INSPE ION
COMMENTS: ~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ ,
.....
~
~~
'- -
('/I~
~
~
t4 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ' ~ Owner/Contr:
"".J .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIVSNOTI