HomeMy WebLinkAboutBuilding Permit 03-0504
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~ at bottom)
ADDRESS
337'7 C~Nt-;a7l'/"'
Date Rec' d
1- ' J() -a3
I. White File I PERMIT NO I
2. Pink City . Oi -7 -O,e:'" AA-.
3. Yellow Applicant ~ ;..J c..;-r-
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LEGAL DESCRIPTION (office use only)
LOT3 BLOCK f' ADDITION
OWNER
(Name)
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JJYJ
(Address)
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BUILDER
(Name)~f Nf/J'}q/yN
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(Contact Name)
(Address) /395
TYPE OF WORK
o New Construction
(Phone)
(Phone)
(Phone)
(C fQ/V
v
o Porch
ORe-Roofing
ZONING (office use)
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PID ';S - 36..r- O~-O
~.5/-yo~- .yf'o u
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. i3'Misc. NO MO~
OLower Level Finish 0 Fireplace DAddition OAlteration
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rATiO Au..ouJ€J> PROJECTCOST/VALUE (exdudingland) $
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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 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
;terupon;.?o;;:performl;z:.v. /Yf d 'f- 30 - 03
- - / Mtature Contractor's License No. Date
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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
/, -1-00 - ocJ
$ .:57J . '15'
$ .33 - / I
$ .70
$
$
$
$
$
~~
This Application Becomes Your Building Permit When Approved
Building Official
~d~3
Date
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
Paid
Date
%4-. 7(,
.L..JJ 0 ">
~
#
$
$
$
$
$
$
$
$
$
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Recei~o.
By/L
o
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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, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~I U~N(
INAL \.L.
o SITE I P CTION
COMMENTS:
DATE TIME
'$ 3<1.7
SCHEDULED r:;-;t1.c1
r;(_~ ~
CONTR.
PERMIT NO.
-:!>-S{J{
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 GAS LINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRE?CTION AND PROCEED
o CORRE T '~n CALL FOR REINSPECTION BEFORE COVERING
Inspector: r / Owner/Contr:
CALL \..4-d~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREJENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/ INSNOT1
~
PRIOR LAKE
INSPECTION
RECORD
:U~7 tSLI/#IYATEL 7U1L,.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK ~~~
USE OF BUILDING ~ h/~
PERMIT NO. ",t:J.5*~ pATE ISSUED
BUILDER W PHONE # tlZ..3IIIl .,IIIz..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,~OR DATE
r FOOTING I Ulf-/ I 0..--:::7l
PLACE NO CONCRETE UNTIL ABbvE HAS BEEN SIGNED
I I
J FINAL
- ,
vy
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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