HomeMy WebLinkAboutBuilding Permit 03-0598
CITY OF PRIO~ LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
S/9.03
(Please lVPe or print and sign at bottom)
ADDRESS / 33 -:.-
1723 I ,~,:;,
Sc/N~
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
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tf11 WI"
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TYPE OF WORK
o Misc.
I. While
2. Pink
3, Yellow
File
City
Applicant
-
V~/f/.P/
(Phone)
~~'rQ
CoI;)-"/~d-4.+sJ
[5;7t A-e.. ~
I PERMIT NO. &-o59g I
ZONING (office use)
PID
(Phone) 7b 3-5~ / ~oSoif
(Phone)
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
\ Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
7(".(/V
r.le;.O ?
o New Construction
DLower Level Finish
ODeck
~II.} l1l1m~
[JPooch ~~
PROJECT COST IV ALUE (excluding land) S
o Fireplace
OAddition
DAlteration
~e'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 1;"~Y-"J 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 property fi?~ ;:; inspections. ~/c;-<-" '-bG :y/~ :3
- Signature Contractor's License No. ~ate
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
2/ sc.rv - .--v
$
$
$
$
$
S
$
$
This APPli'''i}l~ Building Permll When Approved
Building OffiCIal Date
# $ I
# $ I
$ I
S I
# $ I
# $ 1
$ I
$ I
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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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
C;-1-oJ
ADDRESS
/7 JS/ ,J.J/ s~
S- C//A /t7o r
CONTR.
OWNER
PHONE NO.
PERMIT NO.
5-sqr~
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 EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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.
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~0
J '
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~T ~O..'/,1ALL FOR REINSPECTION BEFORE COVERING
Inspector: /I.J!.r t... c:{.... cJ1.,. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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