HomeMy WebLinkAboutBuilding Permit 03-1351
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
16743
ANNA
03-1351
Re- Roof
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 EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
CLu~[ FILE
- F -t . 'on Building rn~pector
MIKe el~(:>> ,
oce 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!
INSNor,
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/~. 7.07
I. White File
2. Pink City
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
J to7 LJ 0 A ,,\ tV A
(L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER ut
(Name) __F \..() '4
(Address) I fo 7 4 7
\0 ~J Ll' r-
ANtVA
(Phone)
) a.-
BUILDER n J"
(Name) '-' t.< 9; ~ r'l r_ f -re r" o.r.5
(Contact Name) ~r.c \) r)tJ 1 P J')
(Address) 7/1(, I J'-v ,,It ~. f- ;J 8raC'A..'r Pia-
(Phone)
(Phone)
TYPE OF WORK
SRe-Roofing
o New Construction
o Deck
o Porch
OLower Level Finish
o Fireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
PERMIT NO.CJ.J.- /J>s1
ZONING (office use)
PID Zr: (JUl- 007- - 0
/6.~ St;O/"6Y5
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-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 designee may
exnter u~roperty to perform ~ns.
7 ~ .z..e>3j!52-S3 /0}00(03
../ <:::::;::7 Signature r ' Contractor's License No. Date
.....
I Permit Valuation '"2 \trV _ (j-,,/ I Park Support Fee
I Permit Fee $ ( I SAC
I Plan Check Fee $ I Water Meter Size 5/8"; I";
I State Surcharge $ I Pressure Reducer
I Penalty $ I City SAC and WAC
I Plumbing Permit Fee $ I Water Tower Fee
I Mechanical Permit Fee $ I Builder's Deposit
I Sewer & Water Permit Fee $ I Other
I Gas Fireplace Permit Fee $ I TOTAL DUE
This Application Becomes Your Building Permit When Approved
'l(o-uV
/0.7.07
Paid
Date
Building Official
Date
# $
# $
$
$
# $
# $
$
$
$ 7&.vzJ
Recv?NO. Q.J '" (, j
By .-
G
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 (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372