HomeMy WebLinkAboutBuilding Permit 03-0894
1_.. . UF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
-
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DATE nME
SCHEDULED g-JJ."":--r..ry.
ere' O~ J.-" ~--J -
CONTR.
J S - cf'tio/
PERMIT NO. 3-/2 ?,
-
o PLUMBING RI 0 ElCIGRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o seweR HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
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~RK SA TISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORRE7IPT W K. LL FOR REINSPECTlON BEFORE COVERING
' CI,L(.-co
Inspector: . ( Owner/Con'r:
' --- -
-
-
CALL 447-9850 FOR THE NEXT INsPgTION 24 HOURS IN ADVANC'1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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(Please'!vpe or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/53'9 / /bCO t' /fJ::.-I:
While File
Pink City
Yellow Applicant
Date Rec'd
"1. 7. 0.3'
I PERMIT NO.OS'_ OBtf4- I
~
LEGAL DESCRIPTION (office use only)
LOT 2- BLOCK r ADDITION Gr~/I1../ ..1'//d/fA?
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
DMisc.
o New Construction
DLower Level Finish
ZONING (office use)
,e(S .0
PID2.5 - 09/-002--0
(Phone) ~q ..r,1 'I t.j 7 L/ 7c1. '7
(Phone)
(Phone)
DDeck
DPorch
ORe-Roofing
o Fireplace
DAddition
DAlteration
~e.Siding
OUtility 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
;t:;1~=") .toPffi:~e~A7;:Yfl 7 - 7 - 0 "3
- Signature - - ---- Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
Gas Fireplace Permit Fee
PROJECT COST IV ALUE (excluding land) $
7.-, n.F/) . (fV
$ 7c/. 1(-
$
$ (.V'
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
I SAC
! 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
I Paid
I Date
7.(, .C/ L/
"7 7.0('
$
$
$
$
$
$
$
$
$ 710. 0 0
I Recei~o. d-~ 9' /
Bv~ .
o
#
#
#
#
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, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372