HomeMy WebLinkAboutBuilding Permit 03-1129
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
If.fY77 j 1ef r=1VV\.
CONTR.
OWNER
PHONE NO.
PERMIT NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
COMMENTS:
5d':"",
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DATE TIME
-1-2--0
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D EXIGRADIFILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLINE AIR TST
D
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if WORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: I~ ti\,- t-. d7 Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
UUNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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File
City
Applicant
I PERMIT NO. OJ ' 11z,Cj
,
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
Date Rec'd
6.z,s.oJ
ZONING (office use)
PID es':' 1S70. {)/6, 0
(Phone) %:J.jc./<J7 -4<-I.t:B-
OWNER . '
(Name) 'UtrL c:y R 0 aUlA., &hCtf/.:JflJR' ~'L
(Address)'~/Cj t=UW AV6.5W
(Phone).1Jt 77, t.f 16 ~ lZ21
BUILDE
(Name)
(Contact Name) f'Yl' (\
(Address) 9tJ
(Phone)
TYPE OF WORK
o New Construction
DDeck
DPorch
DAddition
DAlteration
PROJECT COST IV ALUE (excluding land) S ~. tJCXJ I CX!/
ORe. Roofing
OLower Level Finish
o Fireplace
o Misc.
ilL MVL 55<..145
~Re.Siding
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 0 cia! can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter ~e ~pefo~eede insp o~s J 'd ' J: I
X7~" , ~ . 0~( ~e5h '/ ft2 t',-.:s
Signature Contractor's-CicenseNo.. Date
I Permit Valuation
I Permit Fee $ 1</'7J
I Plan Check Fee $
I State Surcharge $ / , ~(('"
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
Park Support Fee
SAC
This Application Becomes Your Building Permit When Approved
Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid 7& . VlJ
Date R' , 7 r A
/
Building Official
Date
#
#
#
#
$
$
$
$
$
$
$
$
$ Ie;, fIl)
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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 inspectious (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372