HomeMy WebLinkAboutBuilding Permit 03-1009
ji WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, L FOR REINSPECTION BEFORE COVERING
Inspector: f!;- I) ~ DtnerlContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
UiSNOn
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
7. 2-1.03
rint and si at bottom
ADDRESS
-::;52.3
c;eoss 1'7 /1IO~
I. White File I PERMIT NO
2 Pi,k C;" . O?_/"Oq
3 Yellow Applicant ~ (/
oST.
Sc..-
ZONING (office use)
PtlP
LEGAL DESCRIPTION (office use only)
LOT I BLOCK 3 ADDITION CfiJeO/ /II/1L. ,e.r 0 &C 2ND
OWNER
(Name)
Rru(f!'
Ff'l1laf,Orl
(Address)
PID~ ;:JOZ..02(P. 0
(Phone) (9'SJ) 41.fO. b ~92
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
DDeck
ORe-Siding
o New Construction
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DPorch
ORe-Roofing
DAddition
DAlteration
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 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 u~the property t~erform needed inspections.
X ~ a ~//"l '7-;'0-03
Signature Contractor's License No. Date
..
Permit Valuation "L!:';)OO,f}l'J
Permit Fee $ ?1./,7S
Plan Check Fee $ ~
State Surcharge $ /;z5
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~ '7.e,lJp
Building Official
7;?~;Io3
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other f/t:Lr,eiC~l. $ /. cJO
TOTALDUE~ "1,:)I.~") /1:10 I/: l.; 77,tJO
,
I:;;t04!:CCZ/
I Paid ~J tfi
Date 11 IJ 1
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
B,"ed ~ j5"'g/ttYl.I'm.-
Date ~ial Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Priur Lake, MN 55372
Planning Director
~~
Thr ('rnlrr of lhr I..kt COllnlry
(While - :"Udin9.)
Canary - nglneerlng
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
rSN&I1S0N, bta/r!-6
.
7. J.,/ 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
552.3 O6oJ'J/+/JoeA- s:;-.
Accepted
Accepted With Corrections
/'
Denied
Reviewed By: ~ 7~ Date: ?/;a/o,....
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Comments: 6" ~ f ~..:iiJ ~ ../~ca. u
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"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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PRIOR LAKE
INSPECTION
_RECORD
SITE ADDRESS ~s: ~:5 ~.~ sr.
TYPE OF WORK ~
USE OF BUILDING F: I),
PERMIT NO. '3 - /00 DATE ISSUED .,
BUILDER (II F'i ~ PHONE #fSl.- f.-6.9L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PE~MIT IS BY SEPARATE DOCUMENT
r- -Plt.l~"'" 10 L..,.!-lf:=.-n PLN:.c~/oJT of PoOL- INSPECTOR
'b FOOTING
PLACE NO CONCRETE UNTIL ABOVE H
RAMING
.A/f1nL t:.l..e:cr~A.'- iJ.J:S~ .~.5"' d~De /j I;"; ~~~ 1"'rz.1otL TO ~~ t::,~ I1d.IflJ
I FINAL I ~ I >r-~(S.dJ I
Call between 8:00 and 9:00 A.M. for all inspections
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
FOR ALL INSPECTIONS (952) 447-9850