HomeMy WebLinkAboutBldg Permit 02-0307
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
?-,-3-tJ L-
1. White File I PERMIT NO
~~ ~ 'o7~~o7
3. Yellow Applicant " V l.J
(Please type or print and siRD. at bottom)
ADDRESS
S(p 7 0 LO.sr f1oJ!4 ~~/V
LOT
BLOCK
LEGAL DESCR..lt'nON (office use only)
ADDITION
OWNER
(Name)
(Address)
BUILDER LLn..1"
(Name) \'X_
1hd
~~ S"o
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
~tr
LAteV('~ rMU
o New Construction
OLower Level Finish
(Phone)
ZONING (ofliceuse)
It-J5P
PID z..5"'/~S- l/IJo - 0
"
(Phone) ~5L - 4 'loot. -~LL(A
(Phone) I.f~ 1 ... .~J , 1
)S-ol.f l{'
o Deck
o Porch
OAddition
ORe-Roofing
OAlteration
PROJECT COST IV ALUE (excluding land) $
o Fireplace
. /
~e.Siding
OUtility 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. 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
=terrLU~ toceded inspections. ~C _ 2tJ 2 t.fZ(t$]
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
2-~ 5 ~ 0 _ d ()
$ 7'1. "1 S-
$
$ I . 1,J
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
P/M
BUilding Official
4-J ...,-z--
Date
I Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid 7[,. 0 0
I Date 4-..J..(J-V-
# $
# $
$
$
# $
# $
$
$
$ 7(, .0 0
Recer;!/oo "'155'1
By
/I
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
/~7' TN'
5670 ~O$/ ~/~~
CITY OF PRIOR LAKE
INSPECnON NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
~L
[J SITE INSPECTION
COMMENTS:
,
~ / /
,L..es~d C
SCHEDULED
CONTR.
PERMIT NO.
0,2 - SC>7
o PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
o EXlGRADIFILUNG
[J COMPLAINT
[J FIREPLACE Rl
[J FIREPLACE FINAL
[J GASLlNE AIR TST
[J
/? / /
( g~~/e- /~
r
~RK SATISFACTORY, PROCEED
[J CORRECT ACTION AND PROCEED
[J CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOn