HomeMy WebLinkAboutBldg Permit 02-0366
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERIUJCATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4-/~ -~2-
I. White File
2. Pink City
3 . Yellow Applicant
PERMIT NO. 02 -a362 (p
(Please type or print and silm at bottom)
ADDRESS
t-j3-S( ~Ol(~a-d^
:<;{-
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER ~ J, II f' _
(Name)=-f-~ ~~
(Address) ~AAAol L
BUILDER /' r
(Name) ~>~ {/A
(Contact Name)
(AddreSS)L/ /6b
ZONING (office use)
,ez-
PID 25 -{}()S" - tJO 9 - 0
(Phone) CfC::z- L ~ -CS~JQ~
~.~
J
(Phone)c,.,(l-~"1 S - "80 Y'k:,
(Phone)
\JS(vo1 ~f ~~~ l?M'l, MJJ
f~(~Urr
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ODeck o Porch ORe-Roofing ~Siding
o Fireplace OAddition OAlteration OUtility Connection
PROJECTCOST/VALUE (exc1udingland) $ l! I Z~ j DC::>
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
~terupo thj::c:top~~.:nri:sPZ:; __ /tJ50 if-/0- 6L
ts~gnature'- Y , Contractor's License No. Date
,
TYPE OF WORK
o Misc.
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
o New Construction
OLower Level Finish
$
$
$
$
$
$
$
$
2-, ~60_00
741r
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I WaterTowerFee
I Builder's Deposit
I Other
I TOTAL DUE
--
(.-vI'
This Application Becomes Your Building Permit When Approved
~ 4"/(, -02-'
I Paid
I Date
-/fs1. . rrv
~-/~-tn..--
Building Official
Date
#
#
#
#
I; ~ t{( ft"
$
$
$
$
$
$
$
$
$7'_(./0
. r:::~r <J"
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 te"',Mo>!)' 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
ADDRESS
1-/33/
OWNER
PHONE NO.
DATE TIME
SCHEDULED S-)L,-d-. ~
(l &I mil ok) Sf-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING,.,
~~~TIO
o SITE INSP TION
COMMENTS: ~
/1.;7 t'
rf/1KlL ~,
llo . J .
~~C:,~
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
)l WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: - h" ( Owner/Contr:
CALL 447-9850-VOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
.-
/NSNOTl