HomeMy WebLinkAboutBuilding Permit #03-0307
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
.;J-. g to '7
Date Rec' d
5r/L/-3
PERMIT NO. 0]-0301
I. White File
2. Pink City
3. Yellow Applicant
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LEGAL DESCRIPTION (office use only)
LOT~LOCK r'ADDITION uk. W~
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(Address)
BUILDER
(Name) 1WE q)t (~ ^-tv'O 1)cure
(Contact Name) III. I k E. rz v()H
(Address) 46Cf 5 g 'seA 'rIVe. I\vc..
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
(P'
ZptZsffioe)
PIrh? 5 - a. 9'7- OL/d.- \?
q f)Z- 441)-54~
co. (Phone) G f) I ~ 321, 4'1C."1 E)CT I j-'
FA/(Phone) C 151- 3L2- 777]>
LA.~A.NI /.IItJ t) ) 123
,k~eck o Porch ORe-Roofing ORe-Siding
o Fireplace OAddition OAlteration OUtility Connection
PROJECT COST IV ALUE (excluding land) $
I hereby certify that I have fumished 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
=tef\~p;vuune edinspections. 5Y57 ~_ 14-2~/
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I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Pee
Mechanical Permit Fee
$
$
$
$
$
$
$
$
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
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Building Official Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ~D ~""'f"QS
15 l.lfh
~"'~o-3
I Paid
I Date
#
#
#
#
Receipt No.
By
$
$
$
$
$
$
$
$
$
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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
Wh7/dn fl' ned Y~'ty lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
ISsue .
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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
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD D
SITE ADDRESS ~ 7 P, JJ e 1./1 e w v-
TYPE OF WORK Dec'~
USE OF BUILDING SF-
PERMIT NO. 03 - OJ01 DATE ISSUED 3- 03 07
BUILDER . Y Cd · PHONE #/.S-I': ~~".1'7l
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPEG.T10NS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~R i D~E _
FOOTING I / /17 1$'-/- Q ~
PLACE NO CONCRETE UNTIL )reOVE HAS BEEN SIGNED
FRAMING I I
I FINAL
I (f')j J ~
Call between 8:00 and 9:00 A.M. for all inspe~
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1-2,,&
ADDRESS L ~I/ 7
-. \.-
(lb.-l_ t/,'~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
j- 6301
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,..er 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 GAS LINE AIR TST
o
COMMENTS:
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, /9)
o fj-
~JV
\
\
\..
/
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1.(1 / / Owner/Contr:
CAL ~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn