HomeMy WebLinkAboutBuilding Permit 03-1500
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
S'1()/ a~.s
OWNER
CONTR.
DATE TillE
11= 1'"05
c;,,d ~
PHONE NO.
PERMIT NO.
3-f.ITJO
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
('~,. rooF-
COMMENTS:
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:,::ECT7fl FOR RENS:~::FORE COVERING
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
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
530/
Date Rec' d
I. White File I PERMIT NO ~
2. Pink City . 0 '3 ./ Ie;
3. Yellow Applicant . _ v,,"----
rook
I ZONING (office use)
d
PID ;;:ls:tJ/~' OjSO
~
OWNER
(Name)
~ (()a..rl\. s Fleet.
(Phone) L/4 7 - Y9 75
(Address)
BUILDER ,) ;-) - 1fI>e.J '
(Name) J r. k..ern J II
(Contact Name) 1-' SCL ~ n "?
(Address) 4&J-3 Jd3t::::1 Sf/?ef ~I
TYPE OF WORK
o New Construction
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
o Utility Connection
/f7G
Sa ua.
mN
L/Lf7- 75F7
/.e?/d -//J8s-g-j& I
5537~
(Phone)
(Phone)
ODeck
DPorch
e-Roofing
ORe-Siding
OAlteration
I hereby certifY that I have furnished informatiQn 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 awar that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up n e' r"operty to form needed inspections.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Official
Date
//-S'-D3
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1 "; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7~,-
I ~ipts~g30
Paid
Date
/&?<~
~I - ~ -0:.5
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