HomeMy WebLinkAboutBldg Permit 02-0853
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. _~
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ADDRESS
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I / 1I-
LEGAL DESCRl.t'uON (office use only)
LOT
BLOCK
ADDITION
PID
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Date Rec' d
ZONING (office use)
~
(Phone) 9';; - ~LftY-6932-
(Address)
-
BUILDER / h /l
(Name) / / / / /J rJ U r'\.- ... (Phone)
(Contact N~me) _ -,; m /..//]( Ie.- (Phone) te /;; ~ 77(7 -t:'C/~ L/
(Address) 73C()-!3tlZt:s11l1t-(' SJ:r/c(/pu /JJ/l ,)'):"5'9-'1 .
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I hereby certify th 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 a t for the 0 mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted pi ar tli t the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon toA if".. needed inspections. 2 0 3 -:s 51? J-f 7 /; / /, 2--
I~JYi?/
~t Vafuation
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
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(rltIJ!:$'Y="'7{;~~-
~ BUil'4fficial Date
TYPE OF WORK
o New Construction
o Deck
o Porch
~e-Roofing
OAlteration
OLower Level Finish
o Fireplace
OAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
Contractor's License No.
z,~..@-
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
City SAC and WAC
#
#
#
$-
$
$
$
$
$
$
$
7 c.f. 7C;;-
of .?<
Water Tower Fee
#
Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
7...i1-oz...
ORe-Siding
OUtility Connection
Date
$
$
$
$
$
$
$
$
$
~;c~o. Cf 2~r;y::;-
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
7:Jk"~ ft: t.
J/ 155"" f(fld./J~1?'dLl?J
CO~T~. ~
d...J>53
CITY OF PRIOR LAKE
INSPECTION NOTICE
<;0
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULA TIO SEWER HOOKUP
.e( FINAL 0 PLUMBING FINAL
o SITE INSPEC ON 0 MECH FINAL
COMMENTS: () ~
~ () IC.,
DATE TIME
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
!~
tI{)~- 0"7? I
~ORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. A Owner/Contr:
CALL 44709::ioR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSlWTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!