HomeMy WebLinkAboutBuilding Permit 03-0816
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~. (7. 63
~. ~i~i~e ~::y I PERMIT NO. or? _00./1-
3. Yellow Applicant . -> l/ \P'
ZONING (office use)
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3Z(P 1 5f/(!/J17011--6 ~I '-'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
- /Ofp. oo(P - 0
I OWNER
(Name)
(Address)
(Phone)
BUILDER
(Name) ~w C:~:/D Co.tv S \\<-\i C~\[)}J I
(Contact Name) ~ A1~t-J e V l ~
(Address)
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'uc.
(Phone) L(C}t,.- 30, 'sc!
(Phone~ cELL--' (;., I?- - 8 \ 7 - 6 L ~ '3
,- 5 S'7Gf
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OLower Level Finish
OAddition
ORe-Roofing
OAIteration
ORe-Siding
TYPE OF WORK
o New Construction
Deck
o Porch
o Fireplace
OUtility Connection
o Misc.
;e.t;7Jf..,l/t016JV1
PROJECT COST IV ALUE (excluding land) $
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 property to erfo eeded inspections.
.~
Signature
x
2Cx.-> 3'77 <;. 9
G - l { - tS"5
Conttactor's License No.
Date
Permit Valuation (,f) Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ City SAC and WAC # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other tv 1'11t/6le- ar JUP1!. .., $
Gas Fireplace Permit Fee $ TOTAL DUE
Building Official
{,-/q-d]
Date
comes Your Building Permit When Approved
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 sign by the C" Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
c- 1'1-0"1 /,v'S 1.2 I X It '
Date Special Conditions, if
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
-.--,"----.-.--......
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
AD INSULA TlON...- ~ ,..... 0 SEWER HOOKUP
;! FINAL (~~ 0 PLUMBING FINAL
o SITE INSPECTION () 0 MECH FINAL
COMMENTS: ~~D
DATE TIME
:5 - ~tb
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~: SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
SL+-
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"' T
~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS -31'J ~....
TYPE OF WORK ~
USE OF BUILDING ~.
PERMIT NO. OJ -08/ t. DATE ISSUED ~
BUILDER~~ l _~.,. PHONE#~
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
I FOOTING I fM'? I (,'J-4-A I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I I
I FINAL I ~ 1"7 .J l M I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850 .
T
Scott County
Page 1 of 1
This drawing is neither a legally recorded map nor a
survey and is not intended to be used as one. This
drawing is a compilation of records, information, and
data located in various city, county, and state offices,
and other sources affecting the area shown, and is to be
used for reference purposes only. Scott County is not
responsible for any inaccuracies herein contained. If
discrepeancies are found, please contact the Scott
County Surveyors Office.
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June 17,2003
http://www.co.scott.mn.us/servletJcom.esri.esrimap.Esrimap?ServiceName=overviewSDE. .. 6/17/2003
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