HomeMy WebLinkAboutBuilding Permit 03-0388
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
5359
BROOKS
03-0388
Re-Side
ADDRESS
PHONE 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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
CLOSE FILE
,\\;t\", t",I"'I;'UII, Du;IJ;i,~ Ir'z:)pt:;;~lv,-
DEe 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!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and SilUl at bu..u...)
ADDRESS f3 c:CJ
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LEGAL DESCRIPTION (office use only)
LOT I BLOCK 3 ADDITION
OWNER
(Name)
(Address)
~LDERJ _
ame) &..iJ-r. ~ kJ<" J
I tact Na~e) t. ;::Jp, ~ t< t/'('J ~ ~ ~ ~
I (Address) -:2 "Sf. L./ ~ . . U' D
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TYPE OF WORK
o Misc.
x
I Permit Valuation l
I Permit Fee
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
o New Construction
OLower Level Finish
Date Rec' d
1.z-a3
I. White File I PERMIT NO
2. Pink City , I"l? _ A ?Oa.
3. Yellow Applicant (..J-J UJ 0 [)
61 Ie, (!k(:;;;
(Phone)
ZONING (office use)
IC-j
PID25-0U-OI3- 6
~
~one) :2S2-'t!f7-ZY:J S
(Phone)
~f/'I;U L"'~/('-e
ODeck
o Porch
ORe-Roofing
o Fireplace
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $
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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 rev ke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to p,-,fvuu ne ed inspection
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This Application Becomes Your Building Permit When Approved
ItPJf-
Building Official
4 - 2"OJ
Date
~7S~
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
I TOTAL DUE
- ,
I Paid 'l fR . U./
I Date ?,; 1/""1)]
r
~e-Siding
OUtility Connection
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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 inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372