HomeMy WebLinkAboutBuilding Permit 03-0759
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
t;I{7~3
J<A~1o ,ilif:~-'A~~J-i~
ONTR.
. PERMIT NO. -3 -/ S-q
SCHEDULED
OWNER
PHONE 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
o ElCIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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COMMENTS:
Xl -" ,,0.:. ~"- F/",,~ "hi 0'1
~ORKSA~~~ACTORY'PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~LL FOR REINSPECT/ON BEFORE COVERING
Inspector: _ . Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANr:':,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlWm
- ----.----.., .--.-.-.-. '- - +"-.--.---..-- -, . .--.-.. ...----.----
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please'!vpe or print and si2l1 at bottom)
ADDRESS
1~()1;("AN'a\ol\):;:,r~ Ir~,\ \-..IE
LEGAL DESCRIPTION (office use only)
LOT Lf BLOCK 1. ADDITION
I. While
2. Pink
3, Yellow
File
City
Applicant
'Pr,ol L(1.~L ,KtJ
lr~ A'.~ 3d
OWNER
(Name) (~M,-l.,,, '-ljf\r\ \/Viflrl.hors,+
(Address) 1505(;, .Ar9a1omc.... \r/'o.1 ~E
BUILDER
(Namp) TIJ)\(\
(Contact Name)
(Address) 0 ...
,",5
TYPE OF WORK
DMisc.
o New Construction
DDeck
Date Rec'd
I PERMITNO.03-~'11
ZONING (office use)
55:'>12.
PID 25- 31./,)- 0/1/-6
(Phone) '1'5'2.- 22C, -'2(),I..
'Pr,oi [...,11.1." Kt,,\ '55?'1~
(Phone)
(Phone)
Pi!? /I 2.
DPorch
ORe-Roofing
DAlteration
G~l- '2..55'2.'3,"/'1
~e.Siding
OUtility 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 ~d loca11aws 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
;terrrJ1 Z/fEAr:;;::::d :nspections Be U>1., I \ \ 08 10 /S /6 :=:.
Signature Contractor's License No. Date
(\-ti ()~, SId,'(l 'Dro\e:'SIO()(}.ls
T.errll ~ma('\
;:>{d &. SW s,u.,1t. I tJpw l7,il~ klJ
\J .
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
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DAddition
c+500. --
$ /C/r 7';-
$/.d,ST
$ I
$ I
$ I
$ I
$ I
$ I
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Patk Support Fee
I SAC
I Water Meter Size 5/8"; I"j
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
.-/
~ 7[..,'
t-,,-/(- ~
# $
# $
$
$
# $
# $
$
$ I
$ ?t;,- I
ReceiPt No. LlLf::f'67 I
Bv OI..P .J I
0
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