HomeMy WebLinkAboutBuilding Permit 03-0434
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
SCHEDULED
(,:~'o3
<7:.)6
ADDRESS '3051 b~b~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o~- 45 <(
,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)(FINAL C<<Ic
o SITE INSPECTION
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 GASLINE AIR TST
o
COMMENTS:
""') ] !. -,
j. '--L. Y J Lts \"olf..:.
~ l~'O.~~
(;;)
1~",.~ ~
o WORK SATISFACTORY, PROCEED
)('CORRECT ACTION AND PROCEED
:~:O "hRK. CALL FOR REINS:~/:::FORE COVERING
V~V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
(Please type or print and sign at bottom)
ADDRESS
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
30s1
I. White File
2. Pink City
3. Yellow Applicant
tJ{)/:;ca+ I
LEGAL DESCRIPTION (office use only)
LOT J,L{BLOCK 3 ADDITION
OWNER
(Name)
~ON\~
005\
(Address)
r-
/JJ a ~ tnr:;tL
BeLK~
'5o~LI>-\
l/-JS-'3
PERMIT NO'/J3"' 431
PID
l
ZONING (office use)
12/
.;?5-3k'~-07f-4
(Phone) q~1. -~8"\-- ~ S~
~ ML- \ "?12tDR I..-A-~
(Phone) ~ /2- ..+<<03 ~3-z.
(Phone) ~ 12 --t8 3> -C(1 '3 2
L.--kJri~Vl~, ~N :5501-4"....'1 liR
BUILDER J.. .. _ 11
(Name) l.J~:t::::::;~ ~kN5-f2/J, t~G.
(Contact Na~e) \-:J ~ e E2k ki kN S€}J
(Address) t ~~?O ~ K\~e ~R ~ l
TYPE OF WORK
o New Construction
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
~k
o Fireplace
DPorch
OAddition
ORe-Roofing
OAlteration
~ng
Lwtility 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
submitted p s. I am aware t the build' cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon th erty to per eede i eons.
)
x
.J
~
/I
-- / /
din.~tl;Z;;d
'\. ~ DatI
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
II.
I Gas Fireplace Permit Fe;
1/- I
Thisp ce
Signature
$
$
$
$
$
$
$
$
J..a?o (/7)
C; q ).s"
4 s- Of
.1fT{)
,
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 b' _
I TOTAL DUE {f!f).Ij(f)cR L/ - t'--3
((~- ~
~,In~
I
QOdl/ d-b ~~
Contractor's License No.
I Paid
I Date
#
#
#
#
-t ,;1 CS /03
Date
$
$
$
$
$
$
$
$
$
/I~';"t
4-+~
(l.b~
Receipt No.
Bv
Building cia-t
This is to certify that the r~ ~>,...liil~ 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