HomeMy WebLinkAboutBuilding Permit 03-0469
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
f.1~HEDliLED
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CONTR.
OA TE TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: \N'f ,,=\ -~~ D"> Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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INSNOTl
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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. 0 3 -4091
(Please ~ or print and siJm at bottom)
ADDRESS
Date Rec'd
ZONING (officeu,,)
HI/ ~
~ PtJNct Tv-
~I
LEGAL DESCRIPTION (olliee use only) .
LOT/j';LOCK 0\ ADDITION ;}/)/U?~ J{/dc::v Ic;t- pm;;2 c;-- ~5\?-CJ/~-()
.1'')1, II';) .
OWNER K '\,/..{ v
(Name) I C.V trt' GL:; c.U . (Phone)
(Address)
BUILDER fL. _. /J-A ~J ~/S
(Name) rr~e 'V'~{7
(Contact Name) C (-4Ct1 _AvG;-Tl_I/C>
(Address)
/'-< A>Jc;-;t"V
(Phone)
(Phone)
TYPE OF WORK
OPorch
OAddition
Ji(,Re-ROOfing
DAlteration
o New Construction
ODeek
DLower Level Finish
o Fireplace
o Misc.
PROJECT COST IV ALUE (excluding land) $
'7:t>- - i.ll/o ,- (y:+->
100 - 7~__ Sb<'<'~
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 Y'~Y"'Hj 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
:nter 1~. .~the property.; jfrfor~ n~eCded i!lspections.
~ I' <.~ ~~ ,". f?.c. >0-],(7 GI b <;.-.> J ._ )-..>~_
Signatur Contractor's License No. Date
I Permit Valuation 71 /3/500 I Park Support Fee
I Permit Fee $ 7l/_ 75' I SAC
I Plan Check Fee $ 1-<3-:> I Water Meter Size 5/8"; I";
I State Surcharge 1$ I Pressure Reducer
I Penalty $ I Cily SAC and WAC
I Plumbing Permit Fee $ I Water Tower Fee
\ Mechanical Permit Fee $ I Builder's Deposit
I Sewer & Water Permit Fee $ I Other
I Gas Fireplace Permit Fee $ I TOTAL DUE
This Application Becomes Your Building Permit When Approved
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Paid
Date
Building Official
Date
#
#
#
#
$
$
$
$
$
$
$
$
$ 7'" ....;~'
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Receipt No. I1t-fU6 'P
By Q <--
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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 honr notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372