HomeMy WebLinkAboutBuilding Permit 03-0470
ADDRESS
:)"2--1.{ (
DATE
1~.8/z8
~~ ~cZ" r~-
TIME
CITY OF PRIOR LAKE
INSPECTION NOtiCE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3~t,{,JQ
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 EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
IJ?-3~
COMMENTS:
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~L FOR REINSPECTlON BEFORE COVERING
Inspector: Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please .!YJ>e or print and sign at bottom)
ADDRESS
I. White File I PERMIT NO I
2 p", Ct" . 0 3 - / jr}.~
3. Yellow Applicant 7 / l
S ,;('-11
Fros+ Pf aiV'
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
KLS#d.c;
BLOCK
OWNER " i....AJ -r
(Name) f-f'
~(G<...<...
(Phone)
(Address)
BUILDER J k
ffrrvl/{ G 'Ii A..-.- 71-1 CA.-M!{ ..
(Name)
(Contact Name) C-Ih<-rs; NAvC,..t2ur:,
(Address) 'Nn ~ /hM...
MA.V q...,e"l;
(Phone)
(Phone)
~
iAv'~
TYPE OF WORK
DPorch
pl:te-Roofing
DAlteration
o New Construction
ODeck
DLower Level Finish
o Fireplace
DAddition
DMisc.
PROJECT COST IV ALUE (excluding land) $
ZONING (office use)
!2J~D
PIMS- 0(..0" Ol:i ~()
9d)' '- Y'v 0- L Y. ~C
(;.1>- - 7<f"?- Sb <I~
ORe-Siding
DUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge O11e and correct. I also certifY that I am the owner or
authorized agent for the above.mentioned r."r-.~.f 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
enter u~,1the property to perform needed inspections.
y J- c~ c /' / f':,c. A,-'"i7b1t. 'f -'L~'~3
, Signature V Contractor's License No. Date
I Permit Valuation ,;)560 I Park Support Fee
I Permit Fee $ 7JJ/,J, 5' I SAC
I Plan Check Fee $ {I, d- 5"" I I Water Meter Size 5/8"; l"j
I State Surcharge $ I I Pressure Reducer
I Penalty $ I City SAC and WAC
I Plumbing Permit Fee $ I Water Tower Fee
I Mechanical Permit Fee $ Builder's Deposit
I Sewer & Water Permit Fee $ Other
I Gas Fireplace Permit Fee $ TOTAL DUE
This Application Becomes Your Building Permit When Approved
$/&...-
t/ - d--- "3-
Paid
Date
Building Official
Date
#
#
#
#
-')1
$
$
$
$
$
$
$
$
$ ?C:" 0<-'
I
Receipt No, /./4t/'6 \0
By c--,..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