HomeMy WebLinkAboutBldg Permit 02-0514
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
S-/]-PL
1. White File I PERMIT NO I
2. Pink City . 02--05/4-
3. YeI\ow Applicant
1-E5V P&e:rtS'J7-1V /
Sj
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
AAA'"'$
~ ..yT~!N
/,:;..;2 7/
~5 #00,0.
ZONING (office use)
?7
PIDZ5-{)OZ-- tJ2--/-- tJ\
(Phone)
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d1oA.s'
a!~<d J2 I/#;A
frtl-- L/~/ 7 $10(5-
(Phone) 6"1;l.. 7 ~? 51' ~ '1
/? ~ /I . '/?~l(~A)
/.-..Q'~I1Ic;.JI///~, .~/d ! j ./.7
(Phone)
o Deck
OPorch
~e-ROOfing
OAlteration
TYPE OF WORK
o New Construction
OLower Level Finish
o Fireplace
OAddition
o Misc.
PROJECT COST IV ALUE (excluding land) S
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 pi 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
;terupon epro rty pe~neU;?~ .57f? /b~
/ Signature / Contractor's License No. ./ r D~
I I
I Permit V aluation ~
I Permit Fee I
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
~/5"OO.OO
$ 7~ 71
$
$
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
Sewer/Water Connection Fee
#
#
#
1.2-!
Water Tower Fee
#
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
7CR . 0 ()
t':;"" - 1./ - c) Z-
This Application Becomes Your Building Permit When A.....u .:ed
p~ 5-ls-07--
Building Official Date
$
$
$
$
$
$
$
$
$
1ft;. 00
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I
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, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED 5 ~ 11- ~#t ., r.
~aACMvJ G+
ADDRESS
Lf5S0
OWNER
CONTR.
PHONE NO.
PERMIT NO.
;J-- S"/4
~
o FOOTING
o FOUNDATION
o FRAMING
,,0 ~SULATION 0, _ P
~INAL TWO
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
n PLUMBING FINAL
o MECH FINAL
o EXlGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
'I ,
CJbKu
~
,
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK'%FOR REINSPECTlON BEFORE COVERING
Inspector: C Owner/Contr:
I '
CALL 1<<7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
lNSNOT]
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