HomeMy WebLinkAboutBuilding Permit 03-0526
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
S -S-d3
(Please type or print and sign at bottom)
ADDRESS
/4'Z17 Cfi1'/LJvt5tvClOO
I. White File
2_ Pink City
3. Yellow Applicant
?/f'u 6'
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK ~ ADDITION S /17V /:> rl. 4--rJ;1:
OWNER
(Name)
(Address)
12-
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$"'.II.A.
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BUILDER
(Name)
(Contact Name)
(Address)
/q 1ST
$u~G,t
(Phone)
PERMIT NO'()3-()5ufR
ZONING (office use)
PUr:>
PIDZ5-Zi!!)' - tJH-O
t.>..:< .3~!- <-/?qS-
90--::< -;;133 ~Pq
,
,~?78'"
(Phone)
(Phone)
mJ
OLower Level Finish
~eck
o Fireplace
OAddition
o Alteration
TYPE OF WORK
o New Consttuction
OPorch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
o Misc.
x
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
j,
ZOoOt(jQ
iDCf.2-S'
4S,o,
'I.~
$
$
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~
~~
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Building Official
Date
Conttactor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid / /5'. Zb
I Date .s~S~OJ
ORe-Siding
OUtility Connection
~,- 0-L'JJ
Date
# $
# $
$
$
# $
# $
$
$
$ lIS. Up
~ ~}
, Re1ip(NO. ~~Z8
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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 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, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~'k6
ADDRESS /'12-/7 L.Ct vrdlL IA..tf2IJ c/
OWNER CONTR.
PHONE NO. PERMIT NO. ~ - ,S-:U
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULA TIOIb-aA o SEWER HOOKUP o FIREPLACE FINAL
I3'"FINAL (. o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
/'J~
~
(/1
,'-- (L..--t.-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~~~LL FOR REINSPECTION BEFORE COVERING
'-" J!I..f' ,r; - ~lCon.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOn
..,
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /.f2/7 CANP~GJ1/000 ~NC
TYPE OF WORK htLf!.AL-
USE OF BUILDING 186> frj,e-
PERMIT NO. 0;;- 052(P' DATE ISSUED 5-S-()3
BUILDER ~t.-z://VGF_ff PHONE# (,/2'30e.t/fI~
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 \,1 q 10.3
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
FINAL I v1/V ,t;" -,UJ ._6)
L ·
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850