HomeMy WebLinkAboutBldg Permit 02-0048
"
CITY OF PRIOR LAl(E BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
-AND UTILITY CONNECTION PERMIT
Date Rec' d
/- /3 -OJ-
1. White File
2. Pink City
3. YelJow Applicant
(Please type or print and siWl at bottom)
ADDRESS
/5039 MffNI77JU R-..f)~
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK
OWNER
(Name)
~'(f
:SP1M6
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK.
ADDITION ;::::'OPPS
8AY
\:) o..\e.V
/
(Phone)
(Phone)
(Phone)
o New Construction
o Deck
OPorch
OAddition
ORe-Roofing
OLower Level Finish
'g'Misc, IN J ^' PO W
,. .
o Fireplace
OAlteration
"
PID 2-5-05/-008-0
Cj'.g- ~y)- '3 YG,y
ORe-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~: ~ that the building official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
;",~~-prop<rty --.:J:O; -.., / ~ 51 - O..J
~ Signature Contractor's License No, Date
/
2-1500.00
7t1. 75
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
PROJECT COST IV ALUE (excluding land) $
$
$
I Park Support Fee
I SAC
Water Meter Size 5/8"; I";
I $
I $
1$
I $
I $
1$
I.ZS
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
totIJ.-' , -( 1-02-
. Paid
Date
"/ ". (jr)
t::::LI-O Z-
Building Official
Date
#
#
#
#
I $
I $
I $
I $
I $
I $
1$
I $
I $ 7t;,. 0 0
,.
/
ReceitfMt>. 4--115
Bv~
/
This is to certilY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requr
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
'-.,
., CITY OF PRIOR LAKE
INSPECTION NOTICE
..,:::,~.
DATE
#Jz/o ~ ~:3e>
MA-N f'TDU RL)..
O~ -QLf~
- ---
~ ~..- .QJ I' 'U'
TIME
Sca,IEDULED
ADDRESS
1 t::>03-q
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
5 INSULA TIO~! ../
'" FINAL W "\I D (1 V'4
o SITE INSPECTION
COMMENTS:
*
CONTR.
t I
E.t . : :..\-
PERMIT NO.
~ PLUMBING RI (i))
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 GASLINE AIR TST
o
S~e- PAUL,...-
~ ~ ~.....~-
(l..\, ~-e-<..-
r .
vJ~
(\
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)f WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ALL FOR REINSPECTION BEFORE COVERING
Inspector: L Owner/Contr:
CALL 447-9850 F~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl