HomeMy WebLinkAboutBuilding Permit 03-1137
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/(o<{tD
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIMe
SCHEDULED
~'1-i'
r;:! ^t ^"_
CONTR.
PERMIT NO.
?,rtJ 7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
r(~-iool
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
/t
/ (J ~~
~-
..--.
r7Le~
/
~
/"
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~~ FOR REINSPECTION BEFORE COVERING
Inspector: - /I (/ f' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I ----
Y<'NOn
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvD~ Of print and sign at bottom)
ADDRESS
/ 10 9 /0
elM
; ~i~:' ~:;y r PERMIT NO'/13' - //3 /7 I
3. Yellow Applicant { ./ ~ I
ZONING (office use)
Sf
rL,
LEGAL DESCRIPTION (office use only)
LOT J BLOCK ( ADDITION W~ ;] ref
PID.;z.s- ll/)- 0002-J
OWNER
(Name)
i),A;t;c t -:T:'7
II.., qiO r:: //1/1
.C:: e.JJrY ~ Z-.
Ptj~r LA k~
(Address)
(Phone)
9/2. -L/f7._l/300
(Phone)
(Phone)
qs~-nl- J'7/9
BUILDER
(Name)
(Contact Name)
(Address)
4P FY '100~2'-.. 51'7
9/fLJ OR if) ( E
TYPE OF WORK
o New Construction
DLower Level Finish
Dr: ;!-.V,
DDeck DPorch ~Re-Roofing ~e-Siding
o Fireplace DAddition DAlteration DUtility Connection
PROJECT COST IV ALUE (excluding land) S
o Misc.
., .--
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 1'."y.....J 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
~ter~prop;;PZ~s 'l,ooC; 1,2.)2' 7 fS I;). 7/03
Signature Contractor's License No. Date
\ Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
\ Plumbing Permit Fee
\ Mechanical Permit Fee
\ Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
;)500.-
$ -?L(- 75'
$ I ifS
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee # $
I SAC # $
I Water Meter Size5/S"; 1"; $
I Pressure Reducer $
I City SAC and WAC # $
\ Water Tower Fee # $
\ Builder's Deposit $
I Other $
I TOTAL DUE $ "71...-
, lf~ ..:s <.,/
I Paid r/b~ I Receip! No.
t Date k- d- /- J Bv ~ _
([
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
---~