HomeMy WebLinkAboutBuilding Permit 03-0683
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siWl at bottom)
ADDRESS
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I. White File
2. Pink City
J. Yellow Applicant
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V{)!DaJd ~/U~
LEGAL DESCRIPTION (office use only)
LOT38'BLOCK I ADDITION (LJLfd J ~.~
OWNER
(Name)
?x ;kV
rt~
(Address)
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be:> ~G+-'t- \Ll-
BUILDER
(Name)
(Contact Name)
(Address)
"2.. -r (L.
CC:l~<;"f~T'\OO ~ t:.
(Phone)
R t ~ \.. \....
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(Phone)
(Phone)
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1100 R.\A.Slt-Md, 'i be. BlA-f ~v 1.\<.
TYPE OF WORK
o New Consttuction
OLower Level Finish
o Misc,
M,.J
~230tp
~Deck
o Fireplace
o Porch
ORe-Roofing
Date Rec' d
PERMIT NO. t/3-(P8' 0
ZONING (office use)
Rt
PID d~- ( .=3 3d. -0 38'-{)
'7S" 2 - 200 - '2. \'1.... L\
ORe-Siding
OUtility Connection
'5.000
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
SUbm~'tted pi 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 on p ppeltJ t~perform needed inspections,
X ~-- "2.()~c::zs-O y~O to - 2 -0 '3>
-- Signature Contractor'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 .!ermit Fee
IJ
"']!J au
Building Offici}
~ 000...-
83, z. S'"
S-4./I
(. S-o
OAddition
OAlteration
# $
# $
$
$
# $
# $
$
$
$138. 8~
11
Recei$No, ~~tJfJ
By A"' .
U
') 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
led by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
Planning Director
PROJECT COST IV ALUE (excluding land) $
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
I Date
~3g. ~to
;; 4.o"J
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
, -/?J~o7?
ADDRESS
. ~~ ~,,~
OWNER
CONTR.
PERMIT NO. 0 ~ -~.c.g"3"
PHONE NO.
o FOOTING
o FOUNDA liON
o FRAMING
o INSUWI9N_ I _
)! FINA~ \k.
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
N.~
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n
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t... I~
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~WORKSATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o COR C WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspec or: 'fr/l Owner/Contr:
COD QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
mSNOTl
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ~D ~D. fjol:Jt:4 ..,. T".
TYPE OF WORK ~
USE OF BUILDI~ ~ '
PERMIT NO. 1,)3- "-M DATE ISSUED ,,- ~-~ '
BUILDER ~' I Ie (jeAJaLr +~ PHONE # ;loO. ""~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
- - -
, FOOTING I WIG -fry(/)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
__ I I
n
, FINAL I //(J( I .~'-((~
Call between 8:00 and 9:00~.M?fur all inspections
FOR ALL INSPECTIONS (952) 447-9850
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