HomeMy WebLinkAboutBldg Permit 02-0702
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ADDRESS
4-/tb/
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
,,- /1-02-
e,;:r
(!./~et-6
LOT
BLOCK
LEGAL DESCRit'nON (office use only)
ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
1. White File
2. Pink City
3. YeUow Applicant
PERMIT NO. dZ ~ 0702-
,
S6
(Phone)
Oo..Le ~~ev'"
110m€. ~r/'(()./"5
d/(bO ~ R(LJ:lG, nJA.de_
- ';
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
(phone)
(Phone)
PLrMt vr/'
ODeck
- .
~e-Roofing
OAlteration
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OPorch
OAddition
ZONING (office use)
~2S0
PID ?,.S-Z72-- 001-0
9~al().5G?y..
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 10ca1laws and will proceed in accordance with
submitted Plre)ro~ a;;1ce that e bUildin.. g official can revoke this prtt for just cause. Furthermore, I hereby agree that the city official or a designee may
;te<"pH....- '" on <led"""",... ,AY ~gd3(d';, -S~~ h1 CJ.;l.
Signature Contractor's License No. Date
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
$ /4-9.5V
$
$ Z-~U
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
I SAC
WaterMeter SizeS/S"i l"i
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
/.52 LJO
10 - Iv () z-.
$
$
$
$
$
$
$
$
$ /52,00
- Rece.. 4-Z-I'/h
BYr
#
#
#
#
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may ...__....j as requested. This document
when signed by the City Planner constitutes a te.........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 Cor all inspections (952) 447-9850, fax (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN S5372
CITY OF PRIOR LAKE
~SP!:CTION NOTICE
SCHEDULED
t ~~~~Mi 15
(!rJr ~
<.
1-111.,1
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-/c)d-
o FOOTING R 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
NSULA N 0 SEWER HOOKUP
~FINAL A-E9 pO 0 PLUMBING FINAL
~ ~ITE 1N(;-;JECTlON 0 MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/i7 C/? d
Mia
('~~
~ WORK SATISFACTORY, PROCEED
r ~ CORRECT ACTION AND PROCEED
o CORRECT WORK~L FOR REINSPECTlON BEFORE COVERING
Inspector: . Owner/Contr:
CALL 447-9850 F~ THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl