HomeMy WebLinkAboutBuilding Permit 03-1350
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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DATE
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SCHEDULED
J/1,2 J-d?
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CONTR.
PERMIT NO.
:1--11 CI)
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
f'~ - rd~~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
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~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~~~, ~OR REINSPECTION BEFORE COVERING
Inspector: -1L-1II' Owner/Contr:
CALL 447.9850 FOR THE N~XT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
lNSNOTl
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
,
I. White File
2 Pink City
3, Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
/fp879 L-/1"16
~.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
f/rv{A
/ (., ~19
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
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..6
Ltflle RlSoJ.
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(Phone)
J)rrc("-
,
Date Rec' d
10_ I. OJ
PERMIT NO'Of__I)'S~
ZONING (office use)
K--I J' 0
PID 25:./33 _ ()/ to. ()
9SZ-Lf!l7- NL-S1-
r r'k-c /U1v s"Sola
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ORe-Siding
DUtility Connection
I hereby certify that I have furnished informa . on on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized a ent for the above-mentioned pr erty and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted ans. m aware that . ng offic' I can revo this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter upo the prop to 0 nspectio /0 /"'1 1"2-~ ~
Contractor's License No. , f;Jate
I Permit Valuation
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
(Phone)
(Phone)
o New Construction
\. /
~e-ROOfing
OAlteration
o Deck
OPorch
OLower Level Finish
OAddition
D Fireplace
PROJECT COST IV ALUE (excluding land) $
215~ O.(JV
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
Pressure Reducer
$
$
$
$
$
$
$
$
City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid 'I(tJ. vV
Date /0- 7,(){
;
This Application Becomes Your Building Permit When Approved
Building Official
Date
# $
# $
$
$
# $
# $
$
$
$ ,/~.{) 0
/7/
ReceiptJ(o. ffl,(p-z.-
BYO'
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, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372