HomeMy WebLinkAboutBuilding Permit 03-0376
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
>:>q1..
!Ja!,Ca.-r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
D FOOTING
D FOUNDATION
o FRAMING
D INSULATION
o FINAL
o SITE INSPECTION
D PLUMBING RI
D MECH RI
o WATER HOOKUP
D SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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COMMENTS:
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DATE TIME
LO-)"/~
S;7
'5-':17,
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
D
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WAK.~ FOR REINSPECTION BEFORE COVERING
Inspector: J/ U Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Il'iSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3. Yellow Applicant
(Please tyoe or orint and sign at bVLLvu,)
ADDRESS n.
::3372- tJ/I~Sqn 'sf.
LEGAL DESCRIPTION (office use only)
LOT /3 BLOCK z.. ADDITION SUf\/.J'Gt IIIL-"-'S' 4O~,<..I.
OWNER
(Name)
(Address)
BUILDER
(Name) i.U\ fiLl f.JLb€~:") (,C2AJ~-r
(Contact Name) ~Ai ~ct...,~_'(\Uf.,S
l~bLO ~ ~It.AUCAS L1
(Address)
TYPE OF WORK
o Misc.
x
Permit Valuation
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o New Construction
DLower Level Finish
(Phone)
Date Rec' d
4-1-03
I PERMIT NO. ().5- o..s7(P
ZONING (office use)
/!,/
PID z5 - /72-- ()/4-(J
(Phone) C;S2. - 447 - J 832...
(Phone)
&..rr,(L LA k-E. yi},..) 5537 L
ODeck
~
~Re-ROOfing
DAlteration
DPorch
o Fireplace
DAddition
PROJECT COST IV ALUE (excluding land) S
2, 5' CJO . oC)
$ '1'1. ?r
$
$ I ~ Z-~
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
dZAJA4- ~()3
Building Official Date
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 desigoee may
enter upon the property to perform needed inspections.
~~f=.' )
Sigoa~e
~L
7(')0 Ll2. ~) I
Contractor's License No.
ORe-Siding
DUtility Connection
4--I-D)
Date
# $
# $
$
$
# $
# $
$
$
$ 7&.00
/J
Rece!J!:o. "'.39BS-
By .
(J
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
I Park Support Fee
I SAC
I WaterMeter SizeS/8"; I";
I Pressure Reducer
I City SAC and WAC
I WaterTowerFee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid '7~.on
I Date . ~ -/- O?
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 S5372