HomeMy WebLinkAboutBldg Permit 02-0358
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4-/5-'1)2.
1. White File I PERMIT NO
2. Pink City . 02-03S8
3. Yenow Applicant
(Please type or print and siltJl at bottom)
ADDRESS
5500
If(}{} N /\f
$1
ZONING (office use)
ej
LEGAL DESCRIPTION (office use only)
LOT /5 BLOCK -3 ADDITION BrGOO leS V I uE-
~L-r f.o TIt
PID z..~ -I 'tJ7 - oA4--0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) t / >vi 0 F
(Contact Name)
(Address)
P~I OIL
t-A- t::.6
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ODeck
OPorch
OAddition
ORe-Roofing
OAlteration
~e-Siding
OUtility Connection
OLower Level Finish
o Fireplace
o Misc.
PROJECT COST IV ALUE (excluding land) $
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
;ter~ ;5:perty 6r:~ded inspections. ~ \ l~Da\ 0..1-
I ......... ~ Contractor's License No. a~
I Permit Valuation P,S!fV,(fl) I Park Support Fee # $
I Permit Fee W A \ \/~ 1 4. IS- SAC # $
I Plan Check Fee $ Water Meter Size 5/8"; I"; $
I State Surcharge $ ,. z,~ I Pressure Reducer $
I Penalty $ I SewerlWater Connection Fee # $
I Plumbing Permit Fee $ Water Tower Fee # $
I Mechanical Permit Fee $ Builder's Deposit $
I Sewer & Water Permit Fee $ Other $
I Gas Fireplace Permit Fee $ I TOTAL DUE $ L2-C-
This Application Becomes Your Building Permit When Approved Paid I. ~ (" ReceiPWo. 4-1>~ ,
121M- 4../, c:; / u 1.-- Date d- Jr--{) L- By /1.__
} /'
Building Official / Date
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
55l:J~ &Lln-/-c/
I
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
/f MEC~ FINfL
lies Ic/~
COMMENTS:
/J ~/
lLes/eI ~
DATE TIME
~5-
t!J2-J5r
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/'? / /
(..0.1'7 4/1!!-f~
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F, REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSIiOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/