HomeMy WebLinkAboutBldg Permit 02-0815
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ADDRESS
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERu.HCATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3 . Yellow Applicant
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LEGAL DESCRlt' uON (office use only) jJ
LOT BLO~ ADDITIONA-jJAMt-I./LIa
OWNER /' _ J L J J _
(Name) .Jt:.-c;;;?LT t;Z1'P.n;.Q"'/
(Address)
I PERMIT NO. O~-f('IS1
ZONING (office use)
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~--,PID ;J..S-/33' Olq-j
(Phone)
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(Contact Name) U( c.. Y'1",~J-., N
(Address) db3<& ~ 1: 1t}V'J'Gvv' k
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
(Phone) q 5).-4 (..A I 1.;1 J;l.
(Phone).J.d.::J ^ I.&IS- ) <:> 10 ~
o Deck
o Porch
OAddition
~e-ROOfing
OAlteration
PROJECT COST IV ALUE (excluding land) $
o Fireplace
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 l',ul'''.~f 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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Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~5bO~ ---
$ 7~l 75
$
$ f " ;)..~
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid '7fA~-o
I Date 7 ~'if-- d---
# $
# $
$
$
# $
# $
$
$
$ tfn ~Ou
. Receipt No. l-f al.j g J
By r-' ~
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~9~ krre;CG
PHONE NO.
OWNER CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
COMMENTS:
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/Lerc;or
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE nilE
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6...2 - P'/~/
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~RK' CA FOR REINSPECTION BEFORE COVERING
Inspector: . b .- Owner/Contr:
..
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY!
INSNOTI