HomeMy WebLinkAboutBuilding Permit 03-0634
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
s-. 21, 03
I. White File I PERMIT NO
2. Pink City '/17,.. 0 L 7A .
3. Yellow Applicant (..(.J ~ "'r-
(Please type or print and sign at bu..u...)
ADDRESS
48'1 '?:>
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St;;
ZONING (office use)
F/SD
LEGAL DESCRIPTION (office use only)
LOTzA) BLOCK
ADDITION PtLloe 5.0\1711
PID 2S - 0/7 - 074--0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(~{,Y
hil \
j446t,
c~.\w. c.hm
-60.. V'-h:Y"\
P,i,.ll- ~\.'11IL
(Phone) ~2 - 4-10 -- II S ()
(Phone)
TYPE OF WORK
o New Construction
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, J
~eck
~\iV1S,V tI \( HW
J
\s .~'()I.v
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
DAddition
OAlteration
OUtility Connection
o Misc.
PROJECTCOST/VALUE (exdudingland) $ '1/ DDD
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
enter upon the Pt. operty to perfo~ ~~eded inspections. SJ )'
X VM1L (~~ 2b2-/LRII0 2., D~
Si~ature .. Contractor's License No. Date
I Permit Valuation ~OI).Ot:) I Park Support Fee # $ I
I Permit Fee $ (Pq~Z,S I SAC # $ I
I Plan Check Fee $ '-YS-.OI I Water Meter Size 5/8"; 1"; $ I
I State Surcharge $ I ' Ot) I Pressure Reducer $ I
I Penalty $ I City SAC and WAC # $ I
I Plumbing Permit Fee $ I Water Tower Fee # $ I
I Mechanical Permit Fee $ I Builder's Deposit $ I
I Sewer & Water Permit Fee $ I Other $ I
I Gas Fireplace Permit Fee $ I TOTAL DUE ~ 5 _ ~ tb, 03 () $ . IJ,SLU I
plication Becomes Your ,Building Permit When Approved I Paid /IJ-.W 2fd ~I-U/'~ I
· ~ s/z.P'Io3' I Date 5. Z-~_e)S By I
(
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
q'ttf'3 etch. ~(4
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIO~ ~ /
Jl1 FINAL {XvI(
TI SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
1
/ ! /'let?
~) u~ '-
DATE TIME
~-1.
s-f:3 l{
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
}--,
j-rLe
YWORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
In.....'" jJ!f (", J - 0) OwneclContc
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
--
PRIOR LAKE
INSPECTION
nECORD ~ g,
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. fJ3
BUILDER PHONE # - ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
J FOOTING I /1# I 5--- 30/'07
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
. ~.MlrJu I I
J FINAL
/1/1//
&-3-~
J
I
I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850