HomeMy WebLinkAboutBuilding Permit #03-0404
DA.TE TIME
CITY OF PRIOR LAKE LI-/ D
INSPECTION NOTICE SCHEDULED
.' ,.
ADDRESS 5xD flt:Jstrve'n I .-r
OWNER CONTR.
PHONE NO. PERMIT NO. g-tlde-I
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ((.. Srd"'<-
r~ ((
,
(o~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspeclor: V L(-IO-O?ownerfcontr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTJ
------.--..-.-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
".
]. White
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO.b'?S- L!()t.;
(Please tvDe or orint and sign at bottom)
ADDRESS
ZONING (officeu,,)
f) Sf)
1.=5 85'7- 1?ooseve-/f- s+--
LEGAL DESCRIPTION (office use only)
rf!~ !kt~
f( /9-1--/ A/
/2 tJ/)..LPJ/l:::"L I
L01b(/BLOCK
PIDc2S - (!j c;tf - ()d-I- i '
ADDITION
fill'
--)
'/i/ HAl
<:9t,-7
(Phone) 1\2 - ~ l./ 7 C\2 2~
<;T
(Address)
SlLDER i /
~ame) p<.." DFS ( G Ai 6/:2 S
(Contact Name) RRI4f)
,fAddreSs) 3~ I{)
~6n~) ..9 r2.. ff-'1t...! ~/..,r)O
(JBR) -shM c
B/J2jJS/J/LLf;;:-
H(}u( k
!<;
1.1)
J-I.W'-'1
I
~e.Siding
OUtility Connection
TYPE OF WORK
o New Construction
DDeck
o Fireplace
OPorch
ORe-Roofing
OAlteration
OLower Level Finish
DAddition
.!J-sf 6, 7 Lf
o Misc.
PROJECT COST IV ALUE (excluding land) S
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
enter upon the ~erty to pen need~d inspections. V ~ (_
X ~ .Yf>I4t~~J 2-/0 3,;(. <S' J 'f - 7 - 0 ~
~ I ~< :;;.Contractor's License No. '#lIP'" Date ....
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
1 Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
I ;2:;;t)O.-
I $ /t.f/1~
I $
1$ I'd--~
I $
I $
$
$
$
$
$
$
$
$
$
$
$
$
#
#
#
#
~
" /~ rV(;
L/i/v::J Lj
Gas Fireplace Permit Fee
..:;)
Paid 'IrA r"'-
Date /..1- '7' '"J
I Receipt No,
I By {'A;: --'
U
This Application Becomes Your Building Permit When Approved
Building Official
Date
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.
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
Planning Director