HomeMy WebLinkAboutBuilding Permit 03-0096
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
16570
ANNA
03-0096
Re-Side
ADDRESS
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
L.J ........."'nl_.."'_ ...
JGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
CLOSE ~TI_F
,\\;,,~ Peterso~, Ruilding Inspector
nFf: 2 2003
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
/NSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
/ & 5 7 () /I1t/ /1117
?a:tt L-
LOT
BLOCK
LEGAL DESCRu' lION (office use only)
ADDITION
OWNER
(Name)
(Address)
Date Rec' d
1- Z 7--0;1
I. White File I PERMIT NO
2. Pink City . II ?-D 0 a /-
3. Yellow Applicant U 7 V
(Phone)
ZONING (office use)
k-/
PID?_ (-90/_" ~~ - D
~~~;R :-V~" ~,~ VI J~ Ml C ~ f-- ~C (Phone) era -/\g -~(; J
(Contact Name) f><;)V) ~~~~ (Phone)
(Address) a,~( E- 660 0\ W\.~s,,~ f11f1 ~~3
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
ODeck
o Porch
ORe-Roofing
o Fireplace
OAddition
o Alteration
Ae-Siding
. Dutlli<y Coo","'oo
t I h ve 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 agen for above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted pi . I a aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upor rop to perform needed inspections.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
PROJECT COST IV ALUE (excluding land) $
Signature
$
$
$
$
$
$
$
$
2, 50V ,i.'CJ
It! 7 J
?J
/. '-'
The APPpJf[:mBuililingp~;;;,,"
Building Official Date
Contractor's License No.
I Park Support Fee
I SAC
I 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
Paid "7 c:, . tJC./
Date ' I. Z 7. ()5
I ~d-I-Q3
.
Date
# $
# $
$
$
# $
# $
$
$
-
$ 70.0<.J
/ )
Receip(~. 4...st71P9
By ...('.
(J
This is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance anCnilay 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