HomeMy WebLinkAboutBldg Permit 02-0802
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
7- z,-o z.,
(Please type or print and sism at bu.."~)
ADDRESS
33SS- .s?~~
LEGAL DESCRIPTION (office use only)
1. White File
2. Pink City
3. YeUow Applicant
CA /C-
LOTI? BLOCK -3 ADDITION ....!'V/l/Jl:::::-I - /-//t...<...-J
OWNER A I, I rl~ A J A.J:-i.", /" ':a.-I I
(Name) I\tUJJJi _~IU
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
(Phone)
(Phone)
(Phone)
ODeck
OPorch
~e-RoOfing
OAlteration
o Fireplace
OAddition
PROJECT COST IV ALUE (excluding land) $
Date Rec' d
PERMIT NOoc>Z -0 eO Z-
ZONING (office use)
.l!-J
PIDz.,s- - / 72. - 6.S'~ -cJ
q52 ~ <J4.()--??b 9-
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 P,ul'".;j 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
enter u on the p'rop to p rfo need inspectio s.
x
I
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
z., :::>()O,() 0
$ 7t./. 1 r-
$ -
$ 1.'2-~
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~ /-t.-OL-
Building Official Date
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
Paid
Date
7/'.oV
7-Z-0 z-.
#
#
#
#
~
$
$
$
$
$
$
$
$
$ 7(, ,r./lJ
,
. R~eei ~.~z:J7D
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 k..."v...ry 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
DATE TillE
SCHEDULED
OWNER
3355
SPRUCE
02-0802
Re-Roof
ADDRESS
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBIN"" '"
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
..:xJGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
CLOSE-FItE
N,ike PeTer~on, Building inspecTor
n~r 2 2003
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNon