HomeMy WebLinkAboutBldg Permit 02-0691
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2ll at bottom)
ADDRESS
1& 7QCj
I. White File
2. Pink City
3. Ye\low Applicant
0a:J ()/H_
LEGAL DESCRIPTION (office use only)
LOi3 BLOCK ( ADDITION~
UW i'lJ::.K
V'laU1g-rlr.~ *-~~~ ~~
~4q~~
--"
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
~
o New Construction
LltA
.
61/
PIIM5"- 113- 003-0
,.....
\~5~-~r~!~9
(Phone)
(Phone)
o Deck
o Porch
ORe-Roofing
DLower Level Finish 0 Fireplace DAddition DAlteration
Ii' Misc.R e 1110 1/ e t/;\ +r j, /!' IV I1.XJ. II PROJECT COST/VALUE (excluding land) $
,
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 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 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 upon the property to perform needed inspections.
x .si:o <;1 () ~,-., p-
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
~ t J\ ri'C"\.
- .
$
$
$
$
$
$
$
$
IJU
50CJ~""'"
;)8. s-o
f:;O
This Application Becomes Your Building Permit When Approved
$
$
$
$
$
$
$
$
$ dL/. (}U
. Receipt No. L/::1'~
By U-/
U
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
I Other
I TOTAL DUE
, )
I Paid 1h:J.Lf"u'-'
I Date ~ ~ - I () -U e::r-
#
#
#
#
/1J~+~kv ~ b,-/~-tJJ---
.i~uilding Official Tril....,.- Date
(_n\~
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 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 for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~.
DATE TIME
g-36?- '"3 30
/C,7l/9- ~~
CONTR.
SCHEDULED
CITY OF PRlOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
;2- - ~ I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACERI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
/J1~ O~(~~
f)l r-r 11 e;J U-..ht j I c;J;v ~
i
kUn
I V:J
i/Y\ I 1,,0
Vd
ui~
-
~~~-
~~~)~-~~
AreJ ~~ ~ ~ ~'
}4 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ Own.,lContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl