HomeMy WebLinkAboutBldg Permit 02-0447
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ADDRESS
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(Address)
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BUILDER li...f
(Name) ~~
(Contact Name)
(Address)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3 . Yellow Applicant
Date Rec' d
PERMIT NO.O~""'O '1'11
/'
/. ZONING (office use)
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l3alsum Si-
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64L5fln ~ SJV
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PID~S' 1'7;).- 053'"'0
(Phone)
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LEGAL DESCRlt'UON (office use only) 0
Lo0 BLOCK '( ADDITIOl't6./~
OWNER
(Name)
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
(Phone) iJM.t.
(Phone) tUJ.,
BuJ"- ~
I
fY/,.;
5531 z..
o Deck
~e-ROOfing
OAlteration
'\ S). - '-141 - 87/0
q ~ z.. '-/1.,/7- I BJi-
(,/2 5,/) - 5558
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 prv......~J 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.
x~~~~/
. - -- S~ture
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
PROJECT COST IV ALUE (excluding land) $
o Fireplace
o Porch
OAddition
"JSOD.-
$ ,LI, /S-
$ Id.~
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
Contractor's License No.
I Park Support Fee
SAC
#
#
If- }'O - 02-
Date
$
$
$
$
$
$
$
$
$ '71o.oJ
- --'
ReceiptNo. H/'/f)?
By ~/
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
Water Meter Size 5/8"; I";
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
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
I Paid
I Date
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'(j-/0.Vv
t1' ~r? - ~
.... .
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
DATE TillE
IO-~/-t(J
ADDRESS
"&2H
I>~( ~ u V"I S 1-
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:
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o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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t:t'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~R~~L FOR REINSPECTION BEFORE COVERING
Inspector: --t..Jt! Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl