HomeMy WebLinkAboutBuilding Permit 03-0700
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION O-rc.fL-
...l!I"'fINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
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o EXIGRAOIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREC;:~CALL FOR REINSPECTION BEFORE COVERING
Inspector: JLUJ' '8-- (~(...OJ OWner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
UUNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
t:,.'3.oJ
I. White
2 Pink
3. Yellow
File
City
Applicant
I PERMITNO'03_o 700
(Please ~e or print and sign at bottom)
ADDRESS
/ 1L/ 21 {?AvGJ
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l'OLlfLl
AJ, b.
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PlD z..-:; - 3c-t} - oZ8-0 J
(Address)
~ M...J PlA.<=-'1 C: A
1,/42-1 RAU&..J rLuR.:(
_ (Phone) q ~ 2 . 2 ~3- 37 L"L
OWNER
(Name)
,,J,E.
BUILDER
(Namp\
(Contact Name)
(Address)
...-f'
'-10 H...;
1~~9A
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~eck
DPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace
DAddition
DAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (exclnding land) $ /"';00. 00
I hereby certity 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 abov ntioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submItted plans I am a~ware at e buddmg offiCIal can revoke thIS permIt for Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may
enter upon th~.F~e t perfi m n eded mspectIons
X \ ). t.R.... (:,:-3-03
, /' SIgna e \ Contractor's LIcense No ..t Date
I ~ . ,
I PennitValuation l'3tJO,60 1 I Park Support Fee # $
I PennitFee $ 47.90 I I SAC # $
I Plan Check Fee $ 31 d 'S I I Water Meter Size 5/8"; 1"; $
I State Surcharge $ I ~ s- I I Pressure Reducer $
I Penalty $ l I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ 1 \ Water Tower Fee # $
\ Mechanical Permit Fee $ 1 I Builder's Deposit $
I Sewer & Water Permit Fee $ 1 \ Other $
I GasFireplacePennitFee $ I I TOTAL DUE $ -,q, ,g
This Application Becomes Your Building Permit When Approved
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Date
Paid
Date
79. tRf::/
1:.3. Cl;?
I Recei~o. ~G
Bv f'~
a
Building Official
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 G,.onditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447,4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS / +4-2/ .eAVE;7V CI N b
~PEOFWORK ~JL
USE OF BUILDING lees 4/ L
PERMIT NO. ().J -07() D ' DATE ISSUED 03_ 03
BUILDER P;::; C tl611 PHONE # 2S.s -572- 'L
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NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
. 'FOOTING I I/VY/ I {,~/0-d3
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING I M/ I 1-1 4- r5'"7
I FINAL
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
.