HomeMy WebLinkAboutBuilding Permit 03-1166
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TillE
SCHEDULED
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ADDRESS
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l'il~J..,/ LI/1.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3- II~,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION VI.. //
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o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADtFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1Il1~ ~... ),'3-- o!!2contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <I SAFETY!
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
9.3.03
I. White
2. Pink
3, Yellow
File
City
Applicant
I PERMIT NO. 03 _ II ~ (p
(Please tyPe or print and siJUl, at bottom)
ADDRESS
14vQ; fa.nkv
La ht.
Nf:;
ZONING (office use)
/!/
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK 6 ADDITION M.eeIR6G /it~ .:J1e-P
PID z~ , .300 , Q3q 0
OWNER
(Name)
M'---Y..l
l"tlPt'J 1,
H I ~(J tI D\f
CiA. V\-h V u VI
Nf
(Phone) q~1-- 441- "'<'41
PVl.6Y L/UL <:.-
(Address)
BUILDER
(Name)
(Contact Name)
~1t-LV
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[t5Y\.~ l..t-tGYI
(Phone) q51- - 4"'tD - I IS b
(Phone)
(Address)
1446b
PIL.. Vv"1
RiA V\t\ "v II k_
~C;~b l.,
TYPE OF WORK
o New Construction
~
o Fireplace
DPorch
DAddition
ORe-Roofing
DRe.Siding
DUtility Connection
DLower Level Finish
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
~DDb
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 y'_y_nJ' and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted Plan:to~ ~:;e~ tha~~b ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter upon the Wi/iftrfori (l ins eetions /" 2, b 2. \ LP II b q ) <; } l> ~
, SigMtUkJ' Contractor's License No. Date
Permit Valuation sOW dJl I Park Support Fee # $
Permit Fee $ 8'1 :U' I SAC # $
Plan Check Fee $ ~I...( '.! I Water Meter SizeS/S"; 1"; $
I State Surcharge $ I ~:P I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ 1 Water Tower Fee # $
I Mechanical Permit Fee $ i Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Permit Fee $ I TOTAL DUE tJAlU 4.IUl $ 17f?,~~
, ".-
,
es Your Building Permit When Approved Paid 17 ~ , rv ReceiptJSlo. 4'5Z7ljp
(/-4-07 Date C/o .r. (j 7 Bv A
(J
Date
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.
~~dd
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del t
l-hr ",d,JuI
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
'"
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /4&79"1 t!/1/v/cIe LfJ;rJ6
TYPE OF WORK vErve
USE OF BUILDING RG.s /i//C.-
PERMIT NO. ()J - II ~ ~ . DATE ISSUED 93. oy
BUILDER F/?OAl716le- PHONE # 441J. 77SV.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOnNG r ;#!;' /'i-/If ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ - - --"1:" r I j
I FINAL
- . .
IIV/~
~-J.<~'03 I
FOR ALL INSPECTIONS (952) 447-9850
.,