HomeMy WebLinkAboutBldg Permit 02-0703
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tV1le or print and sWl at bottom)
ADDRESS
I. White File
2. Pink City
3. YeUow Applicant
PERMIT NO. OC) - 703
/ L/ {)8tf
~ore LJJ
LEGAL DESCRJ..t' HON (office use only) p . ~
WT I BWCK L{ ADDITlON~~/
OWNER
(Name)
y~
(Address)
/4/J ~ I..{
~t2?1{1V1,
~~~
Lit/'-
ZONING (ofliceuse)
Pul) I
PID ;X S-- rQ/S- - t'L/B'iD
(Phone) -!:tS-:J - 't 0 J - a ~ 1.3
BUILDER --::;. LA _ J) J .
(Name) 7 ~uq ~/VJj .Mvc.
(Contact Name) ~:;t' -r-~
(Address) jOr-t.f? ~fL.Jrcf /~
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
(Phone)
(Phone) (" (,.. f..?:) , p ~ - / 9o.J
~,.. C:\~1'-1
- .
o Deck
o Porch
~ROOfing
DAlteration
PROJECT COST IV ALUE (excluding land) S
o Fireplace
DAdditi<,>n
ORe-Siding
DUtility Connection
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and cv.."~~, 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....v~",;.l1 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 upon the property to perform needed inspections.
X ~ '/aA"f'-
Signature
Permit Valuation
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
.1 Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
d5CYD
$ -,q'- 76'
$
$ J/'~
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
~OO!7'~~p
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid ,10 7 " ,0'-'
Date ~- i ~- O'd-
#
#
t, -/~. :1GO;J..
Date
#
#
$
$
$
$
$
$
$
$
$ 7~,OU
Receipt No. ri d-i ,j-(
F/
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 ......,,~..uy 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 Cor all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
140S4
SHORE
02-0703
Re-Roof
SCHEDULED
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUM5INU no
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
iXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Cb.C5e F!!...e
M:I,e Peter'so", Dtritd;,,~ Ih.:>p~t..I VI"
nI:"l" '>.... zon3
__1:..
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!
IN$NOTI