HomeMy WebLinkAboutBuilding Permit 03-0433
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File I PERMIT NO ~
2. Pink City .03- / /-:::/
3. Yellow Applicant '-' J
(Please type or print and sign at bu"uu.)
ADDRESS
3/5'5 ~/Z'.v/ /)~ 2()
/
LEGAL DESCRIPTION (office use only)
LOT tfBLOCK S- ADDmoN/11W.f1~ f?;~f2 ,~M:i
~~e~R kLJ ~ Ii. /--
(Address) C(()<). ?~~bU-/U(,,/ ;tJ(/f.... ~c/
/ 1
I
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
~.p~ 4/~
ZONING (office use)
R I sn
PID -;;zS - ,q{)(.j- 0;)5'-0
(Phone) 9Q..- ~tIO-J"- A- 3 2
~l(>-~' ~k_
(Phone)
(Phone)
o New Construction
~Ck
oPorch
ORe-Roofing
ORe-Siding
oUtility 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 age fo eve-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted a ware at the building official can revoke this permit for just cause. Furthermore, 1 hereby agree that the city official or a designee may
enter un: 1" "~"J,,,j inspections.
)
x .
/ /lY v
/ / IJI
~rmitN aluation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
oLower Level Finish
o Fireplace
OAddition
oAlteration
PROJECT COST IV ALUE (excluding land) $
Contractor's License No.
$
$
$
$
$
$
$
$
'~acor I
~3/:l.l) I
5<-/,. ,-}
I, SO
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid~1 SR.o~
Date 1I- I 5";" O\:j
This Application Becomes Your Building Permit When Approved
Building Official
Date
#
#
#
#
Date
$
$
$
$
$
$
$
$
$ /3~~
Receipt NQ. q ljOfo 7
By ~/
, 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 0 a Certificate of Occupancy must be
issued.
Planning Director
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
u -llo-d)
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CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS L\ \ 55
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSU~
)S.FlNAL L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
:?..... 4 '3~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~R~ SATISFACTORY, PROCEED
o CORRECT AC N ROCEED
o CORRECT FOR REINSPECTION BEFORE COVERING
Inspector:
JNSNOTl
'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
c
PRIOR LAKE
INSPECTION
o
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
\
TYPE OF WORK
USE OF BUILDING ~O.
PERMIT NO. -1)3 -'133 DATE ISSUED .yn~' .
BUILDER ~ 511.' . PHC1jE~-w"..,n
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
p(;"
FOOTING I I
PLACE NO CONCRETE UNT'IL ABOVE HAS BEEN SIGNED
FRAMING "IT" Fi~", I ,I
/6';"
DATE
I FINAL
,...,
I IV fI 1 Iq -' f b
Call between 8:00 and 9:00VA.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
1
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