HomeMy WebLinkAboutBuilding Permit 03-0611
DATE TillE
CITY OF PRIOR LAKE f.J.q
INSPECTION NOTICE SCHEDULED .
ADDRESS /4l.-n L~(, wcrrJd
OWNER CONTR.
PHONE NO. PERMIT NO. ?~(,(I
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH Rl o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
jjII;? Y 11-()"> Owner/Contr
Inspector:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IJal<<)n
CITY OF PRIOR LAKE BUILDING P,.ERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
52L. OJ
I. White File I PERMIT NO \
2 P;,k C;'y '0:>-(/ 1/
). Yellow Applicant .) LP
(Please tytle or orint and sign at bottom)
ADDRESS
CC1l7c7 kW/~ L~#< .
/ ,-/,25/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
(Address)
(~....e C- 1Pcn/'~ J;;C.
IlkII- r;:.../lft
?6S~ /opl~ Sl/<</A'oS/
ZONING (office use)
PID Z- S-. ? IS: Ort. . d
BUILDER
(Name)
(Contact Name)
(Phone) SO? -2.-50 Sf; S/.
(Phone)
TYPE OF WORK
o New Construction
ODeck
DPorch
~e.Roofing
DAlteration
DLower Level Finish
o Fireplace
DAddition
o Misc.
PROJECT COST IV ALUE (excluding land) S
ORe-Siding
DUtility Connection
L/'-iXJ
,
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 ...v.....nj 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 uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;terupon theyovy--;;;1:fO ~? inspections. . . C; -..;22 -0 f
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
\ Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
\ Builder's Deposit
I Other
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
I Date
-/&. V U
C. Z L.Il]
Building Official
Date
# $
# $
$
$
# $
# $
$
$
$ 7~ ,(/7.)
fl.
I ReceiJ?l.~o.4'tr?- I L--
By y-;
()
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