HomeMy WebLinkAboutBldg Permit 02-0564
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ADDRESS
/~503
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERl uICATE OF ZONING COMPLIANCE
· AND UTILITY CONNECTION PERMIT
Date Rec' d
.5 ~ Z/-oz-
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LEGAL DESCR1.t' uON (office use only)
1. White File
2. Pink City
3. Yenow Applicant
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LOT 3 BLOCK I ADDITION LJ ~~eJe.-O I/J Cl
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OWNER
(Name)
DC
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(Address)
BUILDER
(Name) "-e.""
(Contact Name)
(Address)
f'"a....t ~O&i..~ G1u<r.
~E.u f ct., ~i) ob'-S
l~O'2..0 ~ ~(LA~ L~
(Phone) q S"~ - tl4'1 - J/lD.
(Phone) &~L.L ~12..- 540 ... 5S~P,
PlLlOfL L4K..f. PJ,.; 55$72
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
PERMIT NO. ~?-0570J-
ZONING (office use)
~I
PID Z-S- - oz3 - 003 -0
(Phone) c..J~O - 5'1 q,
ODeck
o Fireplace
OPorch
- ,
~Re-RoOfing
OAlteration
PROJECT COST IV ALUE (excluding land) $
OAddition
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 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.
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Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Z-, SOO. () t)
$ . 7c.../. 1 "
$ ----
$ (.'Ll
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
y JJ;1t-- r - "}, , -OL.,.-
Building Official
Date
'"2.00 4 "l ~ \\
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid
I Date
to' -z.. I ,. 0'2..
Date
# $
# $
$
$
# $
# $
$
$
$ 7". ~O
ReceiPt No.
Bv
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 constlUction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice (or all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE _/ ") -/ J !ft!
INSPECTION NOTICE ~CHE[,
ADDRESS I'~> f;..~/f1 P-~
OWNER CONTR.
PHONE NO. PERMIT NO. ).. - ~C LI
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
[J FRAMING [J WATER HOOKUP [J FIREPLACE RI
o INSULATION [J SEWER HOOKUP o FIREPLACE FINAL
[J FINAL [J PLUMBING FINAL [J GASLlNE AIR TST
[J SITE INSPECTION [J MECH FINAL 0
COMMENTS: r-c- raJr
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ri WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREfJiPC~O K, CA OR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSliOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!