HomeMy WebLinkAboutBldg Permit 02-0361
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT !/ BLOCK 2- ADDITION
OWNER
(Name) 1I~~m f>l "
(Address)
BUILDER
(Name) R~f>
(Contact Name)
(Address)
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TYPE OF WORK
o Misc.
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1. White File
2. Pink City
3 . Yellow Applicant
Date Rec' d
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PERMITNO.02_03~ /
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ZONING (office use)
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PID Z5-/?7- (;/, - /)
(Phone) Q.>-Z- "'J.j)'-"~J/'
(Phone)
OLower Level Finish
PROJECT COST/VALUE (exdudingland) $
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 ,lans. 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 )"' signaturl Contractor's License No. Date
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PermifV aluation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
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ODeck OPorch 14j..e-Roofing ORe-Siding
o Fireplace DAddition DAlteration DUtility Connection
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o New Construction
2-~ 50 (), (I CJ
$ 7~ 7J
$
$
$
$
$
$
$
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This Application Becomes Your Building Permit When Approved
~
Building Official
J..- -I" -'L..-
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid
I Date
7(p.O 0
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#
#
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$
$
$
$
$
$
$
$
$
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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 PRIQR LAKE
INSPECTIONPNOTICE
~
DATE TIME
SCHEDULED S-1-;;2- 1:/5
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ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION @
o FRAMING
Y1 0 INSULA~N J
I'i:Jl,/ ...B&INAL ~ I (jJ/Jt
o SITE INSPECTION ff
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL /
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o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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)I WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI