HomeMy WebLinkAboutBuilding Permit 03-0419
(Please type or print and sign at bottom)
ADDRESS
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
J. Yellow Applicant
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LEGAL DESCRIPTION (office use only)
LO#S;LOCK I ADDITION)1.1 ~
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(Address)
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(Phone)
BUILDER ' '
(Name) ~\ \ 1-\ G:-- '(' .f7,R/l/\, (' PJv'\ + n\c:t ( v'\ ~~
(Contact Name) Y.x- \ '-l..,
(Address) l 0 "b5 '\ U ~fl e.DI2:-A. -AU{J,
TYPE OF WORK
o New Consttuction
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
Date Rec' d
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PERMIT NO. t)g- Lift:(
Z~~(OffiCeUSe)
PID d.-5 - 3 ~t.;-Ol./S-p
9S).-4rj&>- 3,;j
(Phone) [~\d-.,' !.fC, D -- -7f1 6 (
(Phone)
8 ~i<L/I/
~eck
o Fireplace
o Porch
ORe-Roofing
~ Y\-
t:"" . '\
5 ./ r {) (7'--...
OAddition
OAlteration
ORe-Siding
OUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge ttue and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all consttuction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware that the b~ild' g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to J?,-,fv,,\\ needed' spections.
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CS Signature Conttactor's License No. Date
I Permit Valuation
I Permit Fee
I 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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Buildi1 g Official Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
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t(J- - Z 1, ..o;?
# $
# $
$
$
# $
# $
$
$
$ Ilr.;.'
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By .;0.
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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
~~;dSi,d by th1')i7 ~ner constitu1es a temporary Certificate of Zoning compliance and allows construction 10 commence. Before occupancy, a Certificate of Occupancy must be
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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
...,
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS ~ 3~ <f ,-~+olUecYesl- 'PCLi-A
TYPE OF WORK D~," ...Ie:.
USE OF BUILDING SF
PERMIT NO. 123- L/;q DATE ISSUED
BUILDER /(e/~t1 Gre~ ulUtraci-/"6 PHONE #(,/~- 4190-7<1tq 7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
.
~ FOOTING I ~ I L{I t 'Z.:Jt(; t<:;[J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
-I
I I
I FI NAL
-
!/II/t/ s- ~/ en
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
i 1
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED t:) '" ~-613
ADDRESS ---.d-?J;;.t{-~7 (J~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3-Lj/9
o FOOTING
o FOUNDATION
o FRAMING
o ,INSULA nON
<<FINAL
"'0 'siTE INSPECTION
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)~r
---
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 51+-
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl