HomeMy WebLinkAboutBldg Permit 02-0623
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3 . Yellow Applicant
LEGAL DESCRIPTION (office use only)
OO~ OOiL
LOT BLOCK ADDITION
OWNER
(Name)
sf fldct
PID
505 FOO D
ef'ome., c- 1- L~
(Address) ':3'''1./ f ( LJOlJ d s( de R J,
~ (Phone) 96:;. - 1{~7-~S' Ed-
I41N
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
OLower Level Finish
OAddition
We-Roofing
OAlteration
ORe-Siding
TYPE OF WORK
o New Construction
o Deck
o Porch
o Fireplace
OUtility Connection
o Misc.
PROJECTCOST/VALUE (exc1udingland) $
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 ans. 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
ent~ull perty to perfo nee inspections.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
s:.
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x
Contractor's License No.
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$ .0
I * 4-2-11.3
I. z
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
---
This Application Becomes Your Building Permit When Approved
fljj}J)- 5,;rO-cn-
I Paid ~(r; 00
Date . 30 -0 2--
Building 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 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
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ADDRESS
DATE TIME
SCHEDULED &ij-;;;.- /t r
.s 1/1/- LA )oo:is/~ 72~
CITY \If PRIOR LAKE
JNSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
C<t~
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING (i!
o INSULATION
FINAL
1I SITE INSPEC ION
.~ '::hJ 0_
~.~l~j?~
~ WORK SATISFACTORY, PROCEED
~. CORRECT ACTION AND PROCEED
D CORRECT WO~ALL FOR REINSPECTlON BEFORE COVERING
Inspector: 4 t Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
/J'ISNOTl