HomeMy WebLinkAboutBuilding Permit 03-0725
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOT,ICE SCHEDULED "7-3'"0
ADDRESS S''t 77 f1,~ C.r/
OWNER CONTR.
PHONE NO. PERMIT NO. 1.-7H
o FOOTING o PLUMBING RI o EXlGRAD/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 GASLINE AIR TST
o SITE INSPECTION o ME,CH FINAL 0
COMMENTS: r~-f'IJr~
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRENALL FOR REINSPECTION BEFORE COVERING
7,)O~ tI'7
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
/NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BliILDll'iG PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please type or print and sign at bottom)
ADDRESS
'5"4:," e>/l:)O~ Ctt-el~ s. t
I PERMIT NO, fJ3-/d!jY
. /
>p71-1 I ZRiG(Offin,) I
I White
Pink
J Vella"
File
City
Applic~nl
. ffl..()\l ~I M.-v
LEGAL DESCRIPTION (office use only) JZ. _ . .
LOT /6 BLOCK 3 ADDITION (:2/Mt/~
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OWNER
(Name)
"Sc.N,.......J.,4t,UZ- ~ uv......ll. :r:.u t-
l..''lcC> ~ AvL f~-'t't\ L~ VIA.u
(Phone)
(Address)
),,""12...
BUILDER
(Name)
(Contact Name)
(Address)
SAfYl6-
Do..f *'. - J-cv,.~ 4/L.
(Phone)
(Phone)
PID~"'" Od.-/- 0.?-8-0
"62-44-7-10")8'
acS'2..-4q'l-IO" g'
(...1t.-"S(,1- ~()"'!. S
;::: OF WORK 0 New Construction ,aDeck ~'!)' DPorch ~-~~~/.f ~.r;~')ZnJ!-.t'#-.''''(
j DLower Level Finish 0 Fireplace DAddaion OAlteration'. [jUtifuYConnection
r"'t,:7fi .. ."- "I. , / J1!'~
DMisc.JlI,t : ~-I '71L..- "1-71A,,~ ROJECTCOST/VALUE (excluding land) $ 1'5,ODO.eJ.O
I hereby certify that I have furnis d 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 age e ovc- e n property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted p os. aT e b ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon th ne cd inspections.
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_# :2c:J. 'i?'l'" 23<""
Contractor's License No.
Permit Valuation
Permit Fee
d 5" DO.- -----
71(- 7cr
I~d~
Water Meter Size 5/8"; I";
Pressure Reducer
Park Support Fee
SAC
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
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5-3
Paid
Date
Building Official
Date
~~i.f3
#
#
$
$
$
$
$
$
$
$
$
'/("CV
r..it/~ /10
#
#
I Recc~ipt No.
BY~
Thi~ is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a~ requested. This document
when signed by the City Planner constitutes a temporary Certilicate of Zoning compliance and aI]ow~ construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date Special Conditions. ifany
24 hour notice for all insoections (952) 447-9850. fax (952) 447-4245