HomeMy WebLinkAboutBldg Permit 02-0561
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2l1 at b~L_)
ADDRESS
I. White File I PERMIT N~a
2. Pink City
3. Yenow Applicant
I" 074
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LEGAL DESCRlt'TlON (office use only) ({)' d
LOT ~ BLOCK 3 ADDITION 'f' ~ ~ d
~V::~R(5HJu / \ f'f)f-u tLt/;
(Address) ~~J
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
OLower Level Finish
(Phone)
(Phone)
(Phone)
ODeck
OPorch
OAddition
)QRe-Roofing
OAlteration
PROJECT COST IV ALUE (excluding land) $
o Fireplace
o Misc.
PID~5-00?- 0/0-0
~
q.5~ Lf4D Y35 )
ORe-Siding
OUtility Connection
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
t for e above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
. I a that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ropel y needed inspe . -- SIc; D /0 .:;J-,
Sigpfl Contractor's License No. Date
x
I Perm
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~
:J 000,"
$ <.- '7L( 75
$ I
$ .I r d~
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
"1; fJ.(),.
I Paid . (p pr
I Date 5"- c;.l 0 -uCr
#
#
#
#
$
$
$
$
$
$
$
$
~
$7h~
- . /
I Receipt No. '1 1ft) f.9 0
I By <c1C~
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 (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
DATE nile
~kS-
/6t:J7? ~~b;~c-
'-l
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..iJI"'t'IINAL
o SITE INSPECTION
COMMENTS:
/) /J
jLac r
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
>> MECH FINAn
/Lel?Jor
// / /'
( c~/I~Je-
/
t:J,;).. - 56/
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
._---.
~ ------ ..~ ')
/ /' //- / /
( C-~ose ~ re-/
'- ~
~ORK SATIS~ACTORY. P~CEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~'; ;A~F~R REINSPECTION BEFORE COVERING
Inspector: ytv Y Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSlIOTl