HomeMy WebLinkAboutBldg Permit 02-0894
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1-
1. White File I PERMIT NO 9itJ
2. Pink City . ~ ~ _ 1',
3. Yellow Applicant U~ 0
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ZONING (office use)
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LEGAL DESCRLt'TlON (office use only) 0+-- IJ .
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(Address)
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(Name) C xr.~c...."'f/"'" e 1/1tA--t..... I"-l ~J5
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TYPE OF WORK
o Misc.
I Permit Valuation
Permit Fee
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
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o New Construction
ODeck
ORe-Roofing
OAlteration
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 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
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o Porch
OLower Level Finish
o Fireplace
OAddition
PROJECT COST IV ALUE (excluding land) $
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
Pressure Reducer
#
#
I ~S--
City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
'IJ b ~
I Paid 7 ~ _
I Date [-- ;;r eJ--IJ d--
#
#
This Application Becomes Your Building Permit When Approved
Building Official
Date
~e-Siding
OUtility Connection
$
$
$
$
$
$
$
$
.A
$ '/fR ,OV
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Receipt NQ. f...(~ 1J4
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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 k...,,~...ry 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, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED g>' - ;;) - d-- ,)4. ./
a()[(to~ w;J~ ~~er
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ADDRESS
OWNER
CONTR.
PHONE NO. PERMIT NO. ;;) - ~ Cf 4
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING , 0 WATER HOOKU 0 FIREPLACE RI
o IN ULA TION L; J~D SEWER HOOK . 0 FIREPLACE FINAL
INAL d 1'Cft/I PLUMBING F :6.L 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINA 0
COMMENTS: L f'a-vt: /~ I ~ ~~.ilL I
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREry~' CALL FOR REINSPECTION BEFORE COVERING
Inspector: . / ' ) Owner/Contr:
\ '
CALL <<'f.g FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI