HomeMy WebLinkAboutBldg Permit 02-0236
.-
Date Rec..
.:3 - /3-02-
.
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siWl at bv~~v~&)
ADDRESS
I. White File
2. Pink City
3. Yellow Applicant
..3470 sYcr/n{)~ ~
sw
LEGAL DESCRlt'uON (office use only)
LOT/ BLOCK [; ADDITION H/9?C-bf1/CJo..o
OWNER
(Name)
(Address)
. (Phone)
..
BUILDER /? / __ ~
(Name) (_~~ ~~~~
(Contact Name) 4-~.vI- ~
(Address) ~Of /s ti Ae- N', 5.5 fJ ~.5 5'~ 1/ S
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
PERMIT NO. ~2-oZ3{P
ZONING (office use)
;e 6.0
PID ~ -t:J9f; - aJlO --0
(phone) &..5/- ~S? ~ /
(Phone)
DDeck
DPorch
DAddition
~e-ROOfing
OAlteration
PROJECT COST IV ALUE (excluding land) $
o Fireplace
ORe-Siding
OUtility Connection
I hereby certify that I h'ave 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
exnter upon p pe to J1:"!9? rded inspections.
~ JCXXJC<IJ-9'3/J3.Jo;l-
17- Signature Contractor's License No. Date
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
2,500-00
$ ~~ 7~
$
$
$
$
$
$
$
"
1.2~
This Application Becomes Your Building Permit When Approved
~ial
7-13-07.-
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
Paid 'l"~L (/0
Date .3--/3-02--
# $
# $
$
$
# $
# $
$
$
I $ fJ~.oO
I Recej'~ -?--/50/
1Byr
This is to certify that the request in the above application and a~w...t'anying 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
CA~ TIME
~~
~ DZ- A.J",
,{ESS 3i7o 4~ T/l,
OWNER ~ rJA..~ONTR.
.ICE
SCHEDULED
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
fIJ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FI
o MECH FINA
COMMENTS: ~ - ~.
r}~
tJz -~sfo
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
i'i"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
...........
Owner/Contr:
CALL 447-9850 :OR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!