HomeMy WebLinkAboutBuilding Permit 03-1140
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
!. z 7. OJ
PERMIT NO. ()j'_ II ~
(Please type or print and sign at bottom)
. ADDRESS
SKAlt,,/NC
-
tr(/c;"
/57,37
LEGAL DESCRIPTION (office use only)
LOT IUBLOCK .:J ADDITION
If (..,,, 1/ I b/A-I (oJ r
PID t,s. 18. OSJ: ()
OWNER
(Name) ~o ,," l5 ISe?-JIl.
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
J'.;,~
OAlter~ti~~ I
ODeck
o Porch
o New Construction
OLower Level Finish
o Fireplace
OAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
ZONING (office use)
~./J' 0
'-/~J 7 , 2...5'8
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
authorize for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitte plans. m aw~e the building official can revoke this permit for just cause. Furthemlore, I hereby agree that the city official or a designee may
enter upo the pro rty to pe eeded inspections.
X /" ~ ' 9' \~7.. 0'3
~ Signature Contractor's License No. Date
I
I I
~~o. #Zr7-
U'
I Permit Valuation
Permit Fee $
I Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Pc-uuit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When A......~ v' led
Paid "7(,. {/ ()
Date ~ 7- 0.-7
Building Official
Date
#
#
#
#
$
$
$
$
$
$
$
$
$?(,.r/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 ail inspections (952) 447-985(), tax (952) 441-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
5' ~ t'
ADDRESS
I 5"L, Sl
S'" .
"j &I~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
? -if t.[O
o FOOTING
o FOUNDA TIOH
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 EXIGRAOIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~.(iJRTST
COMMENTS:
\6
1l}J
~
~r~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~RY, CALL FOR REINSPECTION BEFORE COVERING
Inspector: \ \ \ \" Owner/Contr:
CALL 44\~5~F~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUI~ENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!