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HomeMy WebLinkAboutBldg Permit 02-0349 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d 4-//-()2- . I. White File I PERMIT NO .. 2. Pink City . "2." 0 ? .L a 3. Yellow Applicant V ~ I (Please type or print and si2ll at bottom) ADDRESS :'00 " ClA/ f< '" /Lei. > ,l;V , LOT BLOCK LEGAL DESCRlt'UON (office use only) ADDITION PID 2.5-/33 - (J4-7 - ::3 &~e~R f'^ ~ ~ I<.- -r; L, Yt S (Address) :1 00 c:r {<..,vl o(~ ~J. ~~~)ER \I ,,11..7 {J1-4.f (,,'Vj;.~ ~/.-J 1 ?L (Contact Name) :-r; __ ANi( t (Phone) (Address) 17 S-(b S [,r"" J\.,; (<-- t/I. f /fJ.",,- LI< ~ , "",./ TYPE OF WORK o Misc. (Phone) <; (,cr. . ZONING (office use) J?J SD (Phone) 612 ,.1oK ~ T? ~7 . -- ~.J 772- o New Construction ODeck ORe-Roofing OAlteration - ~-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~men .oned 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 e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ;ter upon th~;.;:~';u,~ inspections. 20 I J. J ~ "}" ~ II} / 0 Z- / Signature Contractor's License No. Date I Permit Valuation Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee OPorch OAddition OLower Level Finish o Fireplace PROJECT COST IV ALUE (excluding land) $ $ $ $ $ $ $ $ $ Z-15~()_OO 1 '-I. I> Park Support Fee SAC # # /. z.. S Water Meter Size 5/8"; 1"; Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other TOTAL DUE # # This Application Becomes Your Building Permit When Approved 4--" 11-01.,..--' I Paid I Date 7~." 0 ~..-//-O2- ~PvY Building Official Date $ $ $ $ $ $ $ $ $ 7/P. Ot) R.eceiP~~._.1" 4-/582- BvA~ ;; 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 (or all inspections (952) 447-9850, tax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADD~ESS OWNER .:3(J()fj SCHEDULED 7~/t)2-.&.J; I: 3 0 ~~, CONTR. PHONE NO. PERMIT NO. Dz..-~ o FOOTING o FOUNDATION o FRAMING o INSULATION ~ FINAL o SITE INSPECTION COMMENTS: J1# ":... (~,;.... ~ ,en- S~ ~) J I ('f~ ~ . I o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o l ;.owORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK~LL FOR REINSPECTION BEFORE COVERING Inspector: ~ i Owner/Contr: I CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl /"