HomeMy WebLinkAboutBuilding Permit 03-0682
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
, SCHEDULED
G-tf-01
ADDRESS
/7 J. 51 / .13/ .?S'
'> <AA.4A. r
CONTR.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
/
PERMIT NO.
~3-~YA.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
rd~ cJ--
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
R.es/d -e~
/1
L.-~~~
rf'
I~ U
J
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC,T ~O.'/,;1ALL FOR REINSPECTION BEFORE COVERING
Inspector: Jf...!!!/ ~..l{- (}1, Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNO"
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. Wl1ite
2. Pink
3. Yellow
File
City
Applicant
(Please t\:1'e or print and si2Q at bottom)
ADDRESS
/7z311 33,35 SU/1/,eAV V~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
BUILDER I L..,...l... __ ~^~ All
(Name) ~
(Contact Name) If/(&4rr
(Address) q~ 137'- A<- '1/
(Phone)
(Phone)
PI ()II/III rti
. , J
,qA/' s5Y?/
,
'f<..Re-ROOfing
DAlteration
TYPE OF WORK
o New Construction
OD~ck
DPorch
DLower Level Finish
o Fireplace
OAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
Date Rec'd
0- 2.-,0]
PERMIT NO. 03-0082-
ZONING (office use)
te zS D
PIDZ5-?30- 003-0
"7f; ~-5Y'I-03oY
.60-~qd.Jr
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
;ter upon the y'~y<'" to pe';1;~7~ections ;;< Cf 555bb cldIo"?
Signature Contractor's License No. Date t
I Permit Valuation
I Permit Fee $
I Plan Check Pee $
I State Surcharge $
I Penalty $
I Plumbing Permit Pee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
I Park Support Pee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid 'FW'C/(,'
Date 14.1,_ 8-5
Building Official
Date
# $
# $
$
$
# $
# $
$
$
$
/1
I Rece~.0Ii 0_
Bv '__
[;
/'0.v7J
Pr0)
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