HomeMy WebLinkAboutBldg Permit 02-0200
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3 . Yellow Applicant
Date Rec' d
3- If-G)2-
d
PERMIT NO.
-001-04>
(Please type or print and siltll at bottom)
ADDRESS
14-(,,-74- rttlPi.t:; ~/V
LOT 13 BLOCK
LEGAL DESCR1.t'uON (office use only)
/ ADDITION C;lUk;V P pl3ftj.H 4-'71-1
OWNER
(Name)
(Address)
BUILDER,
(Name) (1 f Ie:' ~j'" d~ I
(Contact Name) L ('J..n I J
(Address) '3 ~ ~
I~ t/ rJ ~ u ~U
~I ~r';vl
5'MI'?((/~<
I
TYPE OF WORK
o Misc.
o New Construction
DLower Level Finish
(Phone)
(Phone)
(Phone)
l~R~
o Deck
o Porch
DAddition
~
~ .-
7_~.. .null!>
DAlteration
PROJECT COST IV ALUE (excluding land) $
o Fireplace
usn
PID25-/3f3 - (;I.~- ~
'14/?- 71..( -;; 3
/
~e-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
",: I ~ .wze that th building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up the prop? L ded inspections. "'2. I /
X ..A_.7 ~ ~O~/CJL
- , SignattiT Contractor's License No. bate
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
2~5()O . Of)
$ /4-, r-
$ ''-:---
$ /. 2..--.1
$
$
$
$
$
_AW~uil_;~~~d
Building Official
Date
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
7u_OO
. J -if-f) L-.
#
#
#
#
$
$
$
$
$
$
$
$
$ ,,{p. IV
Receipt,tj o. t! ..J... {./I ( ,
By ,(11l. -
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 for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
DATE TIME
. 0F PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
S/z./f,z.
A. Tr
ADDRESS
/ ~ ~ 7J../ M~ ra,
CONTR.
OWNER
PHONE NO.
PERMIT NO.
02- - " z..o 0
o FOOTING
o FOUNDATION (0
o FRAMING
o INSULATION
FINAL
~ SITE INSPECTIO ..
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~
..... -
~ ~!?/
'" WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WOJ3K L FOR REINSPECTION BEFORE COVERING
Inspector: t / . Owner/Contr:
CALL 447-9850 FO THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
INSNOTl