HomeMy WebLinkAboutBuilding Permit 03-1127
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Dql.{ rA--r1""'1J I
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
(r-r~
COMMENTS:
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DATE TIME
q-/7
(ilirl~ ~
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
hrl~ ~
/
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~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ ti(" {7 ~ner!contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
lNSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY!
"T
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I.White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. (J 3 - l/cY1l
(please .!VE.e or Drint and SilID at bottom)
I ADDRES~ .. I /
J / CJ Lj Cavr/:Ml ~;c{~ \ y?;f i
LEGAL DESCRIPTION (office use only)
LOT IhoCK 3 ADDITION~d I?~L /<;7
IF
OWNER
(Name)
(l1d;J~ri (:) ,I
. (Address)
~
Ld".r-~S(J ~
(Phone)
ZONING (office use)
PUD
PID J5~ ;9.Jjt1-tJI/3-t.5
C;~J- ~ Y'c,."()-<((.;2S 7
(Phone) t;J:l-!(;):J- >?'o'N
(Phone)
BUILDER.jQ k. ~ f' I
(Name) .. 1101/11<:1
J
(Contact N any')
(Address) Y/tJcJc1"c e /-:; i(j r
& / ~CI '
ODeck
o Fireplace
OPorch
~.Roofing
DAlteration
TYPE OF WORK
o New Construction
OAddition
o Misc.
DLower Level Finish
PROJECTCOST/VALUE (exc1udingland) $
(?" 7 () 7;)..
ORe-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
;terup:~ep~p~orm ;eed~ons J 0 ~)7) <6 - d-.~'" ~
Si~ 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
\ Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
rlSU),-~ ..
d~{), (JU
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
\ Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
$
$
$
$
$
$
$
$
7'-1-1 ~
I a-S-
This Application Becomes Your Building Permit When Approved
I Paid
I Date
:H7C, .-
'l<f- ol t:;" -a .,
Building Official
Date
#
#
#
#
$
$
$
$
$
$
$
$
$
/)t, .-
--
Receipt No. t..{5 .5?J
Bv Zf;
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
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