HomeMy WebLinkAboutBuilding Permit 03-1283
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ ~'fql.f IJ ~r1 041 ~
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
/l( ~ (~
DATE nile
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o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~~LL FOR REINSPECTION BEFORE COVERING
Inspector. Jllf/ 10- 711> Owner/Contr:
CALL 447-QS50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANC::~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
~--,_.- ,--..-. -'-'- ~---~._.._.-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
7. 2-3.03
I, White
2. Pink
3. Yellow
File
City
Applicant
(Please tytx: or print and sign at bottom)
ADDRESS
IS-l9~ /?aJ (}/f,t::.S KP >C
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) /J1 APT, /1/
L /lI'J /!.Jr)/I/
(Phone)
(Address)/~Y9-Y I?<,_d 17/11.::
~d
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
Date Rec'd
PERMIT NO. Os rlZ-e3
ZONING (office use)
~jJO
PIDZ5.04Z 007. 0
9~.) - 1''/;; -;).d.)r 't
TYPE OF WORK
DPorch
(j~~
~e-ROOfing
DAlteration
ORe-Siding
o New Construction
ODeck
DLower Level Finish
D Fireplace
DAddition
DMisc.
PROJECT COST IV ALUE (excluding land) $
I
DUtility Connection
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 above~mentioned property and that all construction will conform to all existing state and loca11aws 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 ~pon the ~. vV"': to P:rfO~ needed inspections.
x~hL ~ /-,,23-0]
- Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
) State Surcharge $
I Penalty $
I Plumbing Permit Fee $
\ Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
Park Support Fee
SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid 'l~.0 0
Date 1'd- T. 0_(
Building Official
Date
# $
# $
$
$
# $
# $
$
$
$ 7&.00
/
I ReceiMo. 4::5'("z.-tp
Bv .A:- .
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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 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372