HomeMy WebLinkAboutBldg Permit 02-0680
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORAR'%' CERTIFICATE OF ZONING COMPLIANCE
~ AND UTILITY CONNECTION PERMIT
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ADDRESS
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1. White File
2. Pink City
3. Ye\low Applicant
NW
LEGAL DESCRIPTION (office use only)
LO~LOCK ADDITION ~ tJf7J J J /01J C'l
OWNER
(Name) Wltll~
(Address) ~
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
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
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SELA ROOFING & REMODELING. 1M
1t{'C ':~{~E:"'GIOn DL';fj.
ST.lOUIS PARK, MN 55416
10 #0001050
o New Construction
(Phone)
PERMIT NO~ ();)... _~g{)
ZONING (office use)
Rl5D
PID~S- / L//- c135-()
00- ::::Let ~
- ..-
(Phone) ~l L.-~'Z 3- ~
(Phone)
ODeck
o Porch
~-~
ORe-Siding
DLower Level Finish
o Fireplace DAddition DAlteration DUtility Connection
PROJECfCOST/VALUE (exc1udingland) $ ~~I crt>
$
$
$
$
$
$
$
$
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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
:"'UPOO '" p"""rty to ~{t~;rM /' 10 S- () &-1- 0 L
\./" Sign':tfUre ., Contractor's License No. Date
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-; 1./- .,!:;;'
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
I SAC
Water Meter SizeS/8"; I";
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid 11"'7 t ,cJO
I Date L, - ,- ~
#
$
$
$
$
$
$
$
$
-
$ 7(,,~
#
#
#
~
Receipt No. _ t.j;J-I..5- (e,
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 temporary Certilicate of Zoning compliance and allows construction to commence. Before occupancy, a Certilicate 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
SCHEDUtED
DATE. ~
I-~
ADDRESS 312 \(
~
L- I~ ,)
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
-2 - &80
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ ~NE~~ T~T~
COMMENTS:
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C-~. ., ,_ ,I
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o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORREi1':.RK. CALL FOR REINSPECTION BEFORE COVERING
l-l~P OwnedConl<
CALL 1W~50 FQR, TH~ NEXT 'N~PECnQN 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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