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HomeMy WebLinkAboutBldg Permit 02-0404 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec 4-23-02... (Please type or print and siJm, at bottom) ADDRESS 4-/3q 071/ tu-/t / ICE LOT BLOCK LEGAL DESCRIPTION (office use only) ADDITION ~J /~.3 I. White File I PERMIT NO 2. Pink City . 02-0:+04- 3. Yenow Applicant I/~ 'OWNER~I..~~~ PU""LrLovJ~ (Name) ~. ~ llA..)\ LA (Address) BUILDER ~~D ,_ /'()- (Name) V I ~ t\ f:)OF/1V (Contact Name) JtJtf,vt;on/ (Address) /2- "'SIO C!l2dWn/ /#IC (, TYPE OF WORK o Misc. o New Construction DLower Level Finish (Phone) ZONING (office use) f/IJSD PID -zs - 2. -n - o(B- 0 (Phone) 6rl.. -! 3tj-7$" s 5 (Phone) cr DDeck o Porch DAddition i ~e-ROOfing DAlteration PROJECT COST IV ALUE (excluding land) $ o Fireplace ORe-Siding DUtility 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 above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. m aware t the bu' . g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon ope 0 0 nee mspections. x Permit Valuation 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 $ $ $ $ $ $ $ $ Z-/ S-b 0 ~ 0 0 74.. 1J - I.~J This Application Becomes Your Building Permit When Approved ~ Building Official 4-.z,..?- ,7- Date Contractor's License No. I Park Support Fee I SAC I Water Meter 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 I Paid '7 f, . (J (;/ I Date 4- -z..,J - uz-.. # # # # yr- 2- '5 -e:72 Date $ $ $ $ $ $ $ $ $ 7 &. , (.) Receipt't!,9-,/ tr/7? c) By 1'/ 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 DATEC"f' , L; ~.. '... -:3 o-,;;;z .,>;,.......... t'"' "~. .... ~ t20 0fJ1LvL (/ -' ~ _.I'f OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 11/39 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING l;l ~SULA TI~ .c-.. d)<FINAL 00 I o SITE INSPE ON o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ~ , (~~ Jf...;. ex -404 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o MWORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED o CORRECT WORK, ?J:L FOR REINSPECTION BEFORE COVERING ~ Inspector: . ( Owner/Contr: CALL 447-9850 F~ THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl