HomeMy WebLinkAboutBldg Permit 02-1283
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
jO-7-0L
I, White File
2. Pink City
J. Y _How Applicant
PERMIT NO. oo-rz.,g.3
(Please tyoe or print and sign at bottom)
ADDRESS
/c:'8(P~ ~~~/Z-/NC C/~ .sw
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER c;::::::, ( , ; r
(Name) Y-,Il-'d-\~ ~6t-k~
(ContactNa~e) ~tJ-:tcl <Jet ~d-03.J.J
(Address)
(Phone) W )7ro-{,~/o
(Phone)
-'-.
TYPE OF WORK
o New Construction
ODeck
o Porch
~
~Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST/VALUE (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 accordance with
submitted pia aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teru e~~~ o2od~'l1J30 ft/7N:J-
P' Signature Contractor's License No. . Vate
I Pe~aluation ~ ~ () tJ. (fV I Park Support Fee # $
I Permit Fee $ 7'11 r I SAC # $
I Plan Check Fee $ IWaterMeter Size 5/8"; I"; $
State Surcharge $ j' ~r I Pressure Reducer $
Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ Water Tower Fee # $
I Mechanical Permit Fee $ Builder's Deposit $
I Sewer & Water Permit Fee $ Other $
I Gas Fireplace Permit Fee $ I TOTAL DUE ";)$ 70 _ {/ ()
{ '
This Application Becomes Your Building Permit When Approved I Paid 4(,. dJ . Rc~f Q37rS-
t' l1 j /\ I Date '/4- 7-tJ Z- By -
It/IlL- '{j~ 1-47.--
BUl ing Official Date
. 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 doc
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy .
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
( (, ffC, f)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
COMMENTS:
DATE
TIME
SCHEDULED
I 0 ~{(,
-A- . T.
P-t"'~0"~ C-r-
CONTR.
PERMIT NO.
2.- (J%3
o EXLGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOK
o PLUMBING
o MECH FI .U
(d/ t:'~~~ I
{
J{ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: (/I'f '0 -( L -(/,_ OwnerfContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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