HomeMy WebLinkAboutBldg Permit 02-0104
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
, AND UTILITY CONNECTION PERMIT
Date Rec' d
/.... 3/--02-
(Please type or Print and si2ll attu..u...t)
ADDRESS
1. White File
2. Pink City
3. Yellow Applic:ont
PERMIT NOOZ -OJ 04-'
5770 P/~w~otJ /+1/GiJv6
ZONING (office use)
?(/SO
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill 25-205- 031-0
OWNER
(Name)
(Address)
(Phone)
BUILDER J i j JJ f!L. JI i
(Name) -fJ:.4IAII~r Il~ . 7 7'-/(1)1,. [6
(Contact Name) rnll'K
(Address) 1/)1> I E ~ _ ~
(Phone) 1Q-ef/-1;7 t/
~
d/:/!~
. (phone)
~ _ .' <(({U)
TYPE OF WORK
o New Construction
ODeck
OPorch
OAddition
.
)IRe-RoOfing
OAlteration
ORe-5iding
OUtility Connection
OLower Level Finish
o Fireplace
o Misc. PROJECf COST IV ALUE (excluding land) $
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 a..~u.dance with
submitted plans. I am aware that th bull . g offi ial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
,;upon,,:?~ dod. ... ~d~J-27t. /_$I-#~
'". '. Signature Contractor's License No. Date
I Permit Valuation I 2,500.00 I Park Support Fee
I Permit Fee I $ 7.{. 7 c;- I SAC
I Plan Check Fee 1$ Water Meter Size 5/8"; I";
State Surcharge 1$ I. Z~ Pressure Reducer
Penalty I $ Sewer/Water Connection Fee
Plumbing Permit Fee 1$ Water Tower Fee
I Mechanical Permit Fee I $ Builder's Deposit
I Sewer & Water Permit Fee 1$ I Other
I Gas Fireplace Permit Fee 1$ I TOTAL DUE
# 1$
# 1$
1$
I $
# 1$
# $
. $
1$
1$7~.O()
This Application Becomes Your Building Permit When Approved I Paid 7 ( ~ R""''':j ~ "'1I1Z-
eo14- I 31 I Date 1- ?/."., - Bv T
Building",""" -Dot< -61- - /'
Q is to certify that the request in the above application and accompanying d~ments is in accordance with the City Zoning Ordinance and may ~." ...J 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 Cor all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN SS372
ADDRESS
.& 57 7~
DATE
SCHEDULED 1/~~~~
~
~':~
A - ''7:~"...
. , ''c:.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
82,- !6L{
o FOOTING
o FOUNDATION@
o FRAMING
o INSULATION
INAL
~ITE INSPECT ON
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
COMMENTS:
~
~-~>
J{ WORK SATISFACTORY, PROCEED
( 0 CORRECT ACTION AND PROCEED
o CORRECT W~ CALL FOIiltREINSPECTION BEFORE COVERING
Inspector: .,. ~ /1 Owner/Contr:
./ .
CALL 447-9850 FO t THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl