HomeMy WebLinkAboutBldg Permit 02-0494
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERtuICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siltll at bottom)
ADDRESS
CoCa 6!o ({uS-b G
~
LEGAL DESCRLJ:'TlON (office use only)
LOT3BLOCK (ADDITION
OWNER f)(
(Name) ~ aA'""e..-r1 C L
(Address) ~
BUILDER
(Name)
(Contact Name)
(Address)
I. White File
2. Pink City
3. Yellow Applicant
aJ~~ ~cuL ox-
- ~
~j~~
(Phone)
SELA ROOFING & REMODELING, INC.
A400 EXCELSIOn OLVG.
ST. LOUIS PARK, MN 55416
10 #0001050
(Phone)
(Phone)
TYPE OF WORK
o Misc.
PERMIT NO.O~""oe.;1'ijl
ZONING (office use)
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41
o Deck o Porch ~ROOfing ORe-Siding
o Fireplace OAddition OAlteration OUtility Connection
PROJECT COST IV ALUE (excluding land) $ .5; 5" 0" crt:>
o New Construction
OLower Level Finish
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
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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
$
$
$
$
$
$
$
$
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(4,.....,~ I
"~.
This Application Becomes Your Building Permit When Approved
Building Official
.1
Date
Park Support Fee
SAC
I Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid "l (p &
I Date l7-7-~
# $
# $
$
$
# $
# $
$
$
$ '7~. au--
Receipt No. 1,,/ J..I')[)/ I
By ~.
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
.
SCHEDULED
DATE TIME
ADDRESS
0(P~ ;e,uJn(!, lCO
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
/Z47J r
2--+~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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60RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: !/l(17 ~ Ie. ff3 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTj
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl