HomeMy WebLinkAboutBldg Permit 02-0675
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ADDRESS
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Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3. Yellow Applicant
~ 4- !l/t;
LEGAL DESCRl.t'uON (office use only)
LOT { BLOCK L/ ADDITION k).JO b
2 :S-~5Q~ \<OaAs
(Address)
~
-
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TYPE OF WORK
o Misc.
o New Construction
DLower Level Finish
N/I/
-
PERMIT NO.tJ;)_ h 7 s-I
ZONING (office use)
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PI~b""31o- t)37-(~
(- _ o.~L- 49(0- "Lea<02-
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o Deck
~e-ROOfing
OAlteration
OPorch
o Fireplace
OAddition
ORe-Siding
OUtiIity 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 wiII conform to all existing state and local laws and wiII 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~dedinSpectiOns. ~
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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
PROJECT COST IV ALUE (excluding land) S
$
$
$
$
$
$
$
$
~S1;Jn.. cJ~1
7 J-/, 75'"
I - :;)S-
This Application Becomes Your Building Permit When Approved
Building Official
Date
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.
Other
TOTAL DUE
I Paid
I Date
ei'l
10.
f2(-',/Vd-
#
#
#
#
$
$
$
$
$
$
$
$
$ 7(, ,cJO
Receipt No.
By GL.P /
o
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 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, tax (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
It.{ " ~I
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULAT~N
FINAL
~ SITE INSPECTI N
DA~~i">
SCHEDULED ~h'-{ (0'1.- J/~"."-l<'"
. I
~~ T~tr
CONTR.
PERMIT NO.
()Z -~?S-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ~ ~
.Jlii.~
(J~
~
~WORK SATISFACTORY, PROCEED
(0 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~I Owner/Contr:
CALL 447-98; ;ok THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH de SAFETY!
INSIiOTl