HomeMy WebLinkAboutBuilding Permit 03-1314
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
S 7 f>)...
1'70~ S rr
I - .
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
D FRAMING
o INSULATION
o FINAL
D SITE INSPECTION
o PLUMBING RI
o MECH RI
D WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
D MECH FINAL
COMMENTS:
flt>>F ,;;~ /
--
/ I
( / 10
\. L- A S t:.--
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DATE TIME
10- .)..)-~
-:?-f3Iq
,
o EXIGRAD/FILLlNG
o COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
D
~0:J
. I J
/
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prWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~R~~L FOR REINSPECTION BEFORE COVERING
Inspector: r vr Owner/Contr:
CALL 447-9850 FOR, THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNon
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
9. 2, 9. ~.3
(Please type or print and sign at bottom)
ADDRESS
37~Z, 4-, &, ~
I. White File
2. Pink City
3. Yellow Applicant
/70 nt Sf. s.v..J.
LEGAL DESCRU'TlON (office use only)
LOT / BLOCK / ADDITION WUre:zJGG' e;rmJ~
OWNER
(Name)
(Address)
BUILDER 17 1 d l J
(Name) 12-12 t'1~,4" 1l1tJ' // M~ V {,-
(Contact Name) P)~1~J? C
,
} '75'-) J 65 I-/' 5/
(Address)
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
(Phone)
~//~
(Phone)
(Phone)
~.h~ J i#{I~
,
h/'};;V
" "
. /
~Re-ROOfing
OAlteration
ODeck
OPorch
D Fireplace
DAddition
PROJECT COST IV ALUE (excluding land) $
Date Rec' d
PERMIT NO. ()3 - /3/~
ZONING (office use)
J(:2-
PID -Z~2-1-7. dO/.()
Ljv5- '-Leil 9'
~C;-}/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.-;.~tioned 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 :tl ~e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon ~e p~ to (<, needed inspe~ons. _
X/'1.-" 9'- 29 - D 5
. Contractor's License No. Date
I Permit Valuation ?~ 500.Ul.J
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 $
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid 7(. . (/V
Date r~ r ~(j )
# $
# $
$
$
# $
# $
$
$
_ $7(,.(/l-/
{ J ~
RecdrPt No. ~t 9f'
By(V.
()
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