HomeMy WebLinkAboutBuilding Permit 03-1029
CllY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
DATE nilE
K--Il'
,
1(. .00
10 nil ~ dIM "
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~o,r
~ - (();A
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~RK)'JLL FOR REINSPECTION BEFORE COVERING
Inspector: Y '1 f C6"" ( J.; oz..ner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'''''"'''
-~.....'._.__.__._'----_._.'
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING CO?'!PLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sbm at bottom)
ADDRESS
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
'J{ I) q~'r
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
ODeck
I, White File I PERMIT NO ()'J a-41
2 p;", c;~ . ;?- J/\
3. Yellow Applicant / V
(Phone)
(Phone)
(Phone)
DPorch
P.e-ROOfing
DAlteration
,
d-,~
ZONING (office use)
RrsD
!~510 JIngU4-riLn4a/ &~
ADDITION ~ ~
V
LJJalJ /
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) S
OAddition
PIDc;2S- o 95"-0/::l-0
ijij-7- CJ-F10
ORe-Siding
DUtility 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
;ter upo7f!'('J7yed inspections, ?5" 5' N
. 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
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
:J..5?)/} / ......- I
$7 tj-75" ,
$ l 9.~
$ I
$ I
$ I
$ I
$ 1
$ 1
This Application Becomes Your Building Permit When Approved
Building Official
Date
Park Support Fee
SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
Paid ' } {p
Date 9) '-b'::)
# $
# $
$
$
# $
# $
$
$
$ /)&.-
I Receipt No, tiC,;{ if gq
I Bv U-/" ~
U-
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