HomeMy WebLinkAboutBuilding Permit 03-0991
DATE TIME
V CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED sc-f
ADDRESS !l;T:;q L-.ctf ~ ,r{ ,., /,(~
OWNER CONTR. c?c:l)
PHONE NO. PERMIT NO. "5-1:114
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
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~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRENALL FOR REINSPECTION BEFORE COVERING
Inspector: X:-/g--(j) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <l SAFETY/
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2 Pink City
J, Yellow Applicant
Date Rec' d
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I PERMIT NO. (! ~ ..{t1q /
PID :3 S-:. I.Sd.-{)l:Jd..--o
(Phone) c;Jf7 - 3 3"H
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(Please ~e or print and sign at bottom)
ADDRESS .
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LEGAL DESCRIPTION (office use only)
vo)v,uh7IS
hidh.
LOTd-BLOCK
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ADDITION
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(Address) /g;c;CJ U)AtR /J JM &k St-.
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BUILDER
(Name)
ZONING (office use)
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(Phone)
(Phone) 4-'17 - <JD:+ ':L
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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 ~ the property to perform ne ed inspections.
X~/~~
,(/ / Signature //
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Permit Valuation
(Contact Name)
(Address)
TYPE OF WORK
OPorch
ORe-Roofing
DAlteration
o New Construction
ODeck
DLower Level Finish
o Fireplace
OAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
Contractor's License No.
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
I Paid
I Date
//&.0 ()
7. 2.0.{L]
Building Official
Date
#
#
#
#
~Re'Siding
DUtility Connection
7f3.;:!O'
$
$
$
$
$
$
$
$
$ '7t-CV
I ReceiP~
BY/".
rJ
4S-c/lZ_
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