HomeMy WebLinkAboutBldg Permit 02-0332
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERIUICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2ll at bottom)
ADDRESS
I~S';)& S~J1} CR.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
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~
TYPE OF WORK
o Misc.
l'.)#. ftJ tV (I( I
Rfr,.
~,'</'~.(J f(
tv dOO J.('
o New Construction
DLower Level Finish
+,rr~Ol-
1. White File I PERMIT NO I
2, Pink City . 0,7"0 332-
3, y.llow Applicant I-
ZONING (office use)
PID ?5 -09/- O/($() 0
(Phone) $0 - zj7/
(Phone) $d ..3 cPr c1
(Phone)
\",J 'jJ N
o Deck
o Porch
~-Roofing
PROJECT COST IV ALUE (excluding land) S
o Fireplace
DAddition
DAlteration
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. 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
enter upon the property to perform needed inspections.
7?~h GekL
I~S~
x
Signature
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() .00
$ It..( '7!---
$
$ 1.50
$
$
$
$
$
~
This Application Becomes Your Building Permit When Approved
Building Official
r- q .- (j 1---
Date
----.dOld31 ?S'
Contractor's License No.
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; I";
I Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
7 {p .0 (/
4 Aj ~O7--
#
#
#
#
,-/-9-0;;"
Date
$
$
$
$
$
$
$
$
$ 7(p.oO
1if/570
- Receipt ~..
By A/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 k....M..cy 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 (or all inspections (952) 447-9850, tax (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED .#as -
Sle jJ~
ADDRESS /S~ b
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()~ - 332.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
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( C-'/ eJ ,5 e- /? If'
~~r""lv",I' r",~I:~
o CORRECT ACTION AND PROCEED
o CORRECT WO~..;, c;';;:.?R REINSPECTION BEFORE COVERING
Inspector: ~~ L / Owner/Contr:
-------------------
, I
/
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl