HomeMy WebLinkAboutBldg Permit 02-0385
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDRESS ,
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LEG~L DESCRIPTION (office use only) \
LOT'f ~ 03LOCK ADDITION -b
OWNER
(Name)
G \e,^
(Address)
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BUILDER
(Name)
(Contact Name)
(Address)
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TYPE OF WORK
o New Construction
ODeck
OLower Level Finish
o Fireplace
PROJECT COST /V ALUE (excluding land) $
OAddition
o Misc.
1. White File PERMIT NO
2. Pink City .02- _? 4> L-
3. Yellow Applicant :,:) c:> :>
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(Phone)
ZONING (office use)
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(Phone) !i5).- tr'lfJ- .?,737
(Phone)
o Porch
~-ROOfing
OAlteration
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 c~...;.u~. I also certify that I am the owner or
authorized ent for the above-mentioned property and that all construction will conform to all existing state and locall!lws and will proceed in accordance with
,,"'mil"" . = 'w~ :::J, ... bWI<ling officiU "" revoke drl. """"' .. i"" m=. Fwthamore, I .......,. ...." tho< ... city officiU m , ",;goo, ...,
;terupo th pr ertytoPerfj; 4''''Y:J&.' . L/_ J ~-t:'&1-
v Signature Contractor's License No. Date
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I Permit'Yaluation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
IP~al~ $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee J
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Building Official ~ ~ Date ,
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Park Support Fee
SAC
I WaterMeter SizeS/Sui l"i
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid 1eo.-,
I Date +-f {Is {0'1/
#
#
#
#
$
$
$
$
$
$
$
$
$
-
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Receipt No. 1"'-( -, I ~
By fltJ'l-
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 (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN S5372
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
16769
CREEKSIDE
02-0385
Re- Roof
SCHEDULED
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
'b.0~E F!LE
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
.0 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOn