HomeMy WebLinkAboutBuilding Permit 03-0814
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE
TIME
7,~t4
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
J~D GA INEA TST
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~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL ~7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNDn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFIC.ATE OF ZONING COMPLIANCE
AND UTIt.ITY CONNECTION PERMIT
(Please '!vpe or print and sim at bottom)
ADDRESS
I. White
2. Pink
J Yellow
File
City
Applicant
I PERMIT NO/)3'- f( I L( I
63L/J-
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Y/UJ<J1- p~ ~
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
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OWNER
(Name)
IAJAYIJ~
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
Q~ 01 &C~
o New Construction
oDeck
R:/SO (office use)
PII:Q5' - O~O- OcY-O
(Phone) CJS;;2 - tj<(7- :L7b:2
(Phone)
(Phone)
oPorch
~ROOfing
DAlteration
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
~terT::jY'~Yc", toperfR:-eed~ &, -/9 -Q3
~ Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
1 Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
DLower Level Finish
o Fireplace
PROJECT COST/VALUE (excluding land) $
DAddition
;;?S-Oo-
$ 7L!' 7!J
$ //,35""1
$ 1
$ I
$ I
$ 1
$ I
$ 1
This Application Becomes Your Building Permit When Approved
Building Official
Date
1 Park Support Fee
I SAC
I Water Meter Size 5/8"; 1 ";
I Pressure Reducer
I City SAC and WAC
1 Water Tower Fee
I Builder's Deposit
I Other
1 TOTAL DUE
I Paid
I Date
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#
#
#
#
$
$
$
$
$
$
$
$
$ 7&-
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Receipt No. I..1Vf 8 i (7
By ~
'J
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 hnur notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372