HomeMy WebLinkAboutBuilding Permit 03-0717
DATE TIME
CITY OF PRIOR LAKE Crt;
INSPECTION NOTICE SCHEDULED
ADDRESS I~~~s- t.,,,,,,-,'U
OWNER CONTR.
PHONE NO. PERMIT NO. 1- 'II 7
o FOOTING o PLUMBING RI o EXIGRADfFlLLlNG
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
COMMENTS: t'f-rlI()-('
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor: ~ - (O-r/7 OwnerlCont~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Il'iSNOTl
(Please!vpe or print and siJm at bottom)
ADDRESS
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2 Pink
J. Yellow
File
City
Applicant
I PERMIT NO.
03-'7171
IJ~~~
L; Me, ~d
ZONING (office use)
(( I Sf)
~c:; ~~IDd5/133-0Ib-}
, IT'
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER r
(Name) l ~a.ry rY\.r.k." "')1
(Address)
BUILDER
(Name)
Wh" l,J"1I' + R"o.{~ "} LL-C.
(Contact Name) t20dNlJ
(Address) 'ill.. B""VM:"1 4; He, ft
TYPE OF WORK
o Misc.
o New Construction
DDeck
(Phone)
447- 3'i'i1
(Phone) 1'5z..-443- Q'V;-1
(Phone) ~.-210- c,ZiLJ
DPorch
~e-ROOfing
DAlteration
ORe-Siding
DUtility Connection
I hereby certity 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 O\Vl1er or
authorized agent for the above.mentioned property and that all construction will conform to aU 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
:ter npo'1;!;;V perform needed mspecnons 70 I. 5'j, y.~ t) t/'1 Iv '5
/ LIT'}'. / SIgnature Contractor's License No. Date
,
Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (exc1udiog land) $
DAddition
d560'--
$ ,tj--75
$ l/a~
$ I
$ I
$ I
$ I
$ I
$ I
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
_" - / d)
Paid ~t1rll(:J .-- .
Date {, -!..-/-fA ~
#
#
#
#
$
$
$
$
$
$
$
$
$
:;-
1&2 ,(Iv
) ,t.- fr- -J 1
I Receipt No. ":1' '1':;J "
IBv F
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