HomeMy WebLinkAboutBldg Permit 02-0351
. CITY OF PRIOR LAKE PUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and silm at bULL"'~)
ADDRESS
I_={"O 39 (Yl ctrl '+00
LOT
BLOCK
LEGAL DESCR.J.r lION (office use only)
OWNER
(Name)
-.je.-t+
/5039
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc. 0.. ~ R....\
ADDITION
\::)0. \e "-/"
t1JcIn, +OJ
o New Construction
Date Rec' d
~// z~ 2-
1. White File I PERMIT NO
2. Pink City . () ? -
3. Vellow Applicant ~
(2)
~,L
PID .?..5 -os/ - /)O?;-O
OLower Level Finish ~,~ ~!irepl!::eC~dditiOn OAlteration
~fo~t1.....d 8Jt PROJE~OST/VALUE (excluding land) $
(Phone) 9.sd- V~ 7- 3l.j~Y
(Phone)
(Phone)
o Deck
o Porch
ORe-Roofing
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. ove-mentioned property and that all construction will conform to all existing state and local laws and will Y' ~ ~~~rl in accordance with
submitted plans. I am awar at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;terupontheprop~toperfO ~spections. '/_~_ O:J
~ s~ Contr.octo,',I.kemoNo. D.., -.
( ~
t;" DO. (!:)('.J
$ '2.3 .t;"b
$ ,~.~;
$ .5'6
$
$
$
$
$
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
/1
r /fI~a' BecTs Your Building Permit When Approved
~tU /J> 4-12-- ~2-
Building cial Date
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
. Paid :se7. z- ?
Date 4-..../Z....02...
#
#
#
#
$
$
$
$
$
$
$
$
$ .39.
27
,<
Rec~i r,j;). 4-/5[!14-
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
Date Special Conditions, if any
U hour notice (or all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
DATE
,/-/-oJ-111
-,-,
/5"o?J9 '7Jt~ 1:d
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~INSULAAON "'~OKUP
~FINAL U~ Ra.f t INGFINAL
o SITE INSPECTION 0 CH FINAL
COMMENTS:
TIME
:2-35- I
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLtNE AIR TST
o
SFAeORV' PRO~ED
I AND PRO
o CORR CT '0 ~ LL FOR I TION BEFORE COVERING
'''pedo" rV v-y Owo.,lCoo.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI