HomeMy WebLinkAboutBuilding Permit 03-0956
CITY OF PRIOR LAKE lOATE TIllE
INSPECTION NOTICE SCHEDULED '7ha.-;>
ADDRESS LlJAI &, 'VI k;,.,,/,
OWNER CONTR.
PHONE NO. PERMIT NO. 3~tJ6b
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
Ie k: GA INE AIR TST
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o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(~ \7~"k
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
Owner/Cantr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"'fiNOn
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. While
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO. ()3 r09.5Z?1
(Please lyDe or print and si2Q at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
Date Rec' d
1. Z(JJ.l
ZONING (office use)
~/.5;.O
LOT
BLOCK
ADDITION
PIDZ-b- /)3(" _ (J/~. 0
OWNER
(Name)
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Y~11
,
(A d)( "t-(vl
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O,,""~y /,
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.lb 1-:.-
(Phone)
(Address)
BUILDER T j If! {t..
(Name) . Ll~"\ 1\ MIJ'l1
(Contact Nam:) ':'JIJ ~ fi.-'7, 1121'
/1i71 f'J1qVA ~
,
1'1, (.
(Phone)
(Phone)
6/L
Gr. srf
c.,
~ kvJt
;t1 fi./
my)?
(Address)
TYPE OF WORK
o New Construction
DDeck
DPorch
~e-ROOfing
DAlteration
DLower Level Finish
o Fireplace
DAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
5r7 - J{ tf'
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 Ioca11aws 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
;terupono;~o,~e~dedinSpectiOns 7/u / (J?
t I "\ "l Signature Contractor's License No. f Date
I Permit Valuation Park Support Fee #
I Permit Fee $ SAC #
I Plan Check Fee $ j Water Meter Size 5/8"; I";
I State Surcharge $ I Pressure Reducer
I Penalty $ I City SAC and WAC #
I Plumbing Permit Fee $ I Water Tower Fee #
I Mechanical Permit Fee $ I Builder's Deposit
\ Sewer & Water Permit Fee $ I Other
I Gas Fireplace Permit Fee $ I TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
I Date
Building Official
Date
$
$
$
$
$
$
$
$
$ ?~. 00
Receipt No.
Bv
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 uotice ror all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372