HomeMy WebLinkAboutBuilding Permit 03-1583
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
12. I Z_ a.3
(Please type or print and sign at bottom)
ADDRESS
I. White File
2. Pink City
3. Yellow Applicant
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/Cl/TQ6JeS" ~ /-.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
/!!1A u ftf-i 0 f)F:C-]4 ~ 0 t
/'-Io'lq PurG-EIIS 51 !l/~ ~
(Address)
(Phone)
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BillLDER It
(Name)-f'> A J (I) S <-H(>>F: 1(-114 C;, l''\/ j r. I IV G
(Contact Name) j)A:J J~
(Address) ~/71' ##R)~r Avt: f
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TYPE OF WORK 0 New Construction o Deck OPorch
PERMIT NO. 03. 158.3
- ZONING (office use)
e/
PID:ZS-. ?30. Or2-.. 0
t /.1.. - 32..7 - W-S.1
(Phone) qn.. if b 9-~ p..2-
(Phone) -" }.L - ~'t"~} .. CJ.r4 ~I
ORe-Roofing
ORe-Siding
o Misc.
OLower Level Frish ~ 0 Fireplace OAddition o Alteration
e t Il t--rf" W J ;1/.() 0 tAl f vJ PROJECT COST IV ALUE (excluding land) $ ~O tJ
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
;ter~OAinspections. ~, ~ b :l ") J;).J I.l.. /6?
\ Signature Contractor's License No. (Date
I Pcuuit Valuation
Pcuuit Fee
2-,500.00
$ 7~ 7.1'
$
$ /' z,S;-
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Pcuuit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Z;:;:;Beco~Wng~;j;;;;d
Building Offictal I Date'
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
I Paid
I Date
7~.() 0
/ Z . /'1",,07
# $
# $
$
$
# $
# $
$
$
$ 7(p.OO
,
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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
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
140QQ ~
OWNER
CONTR.
PHONE NO.
PERMIT 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
COMMENTS:
A~
E~ "-YS~
~I
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DATE TIME
l/,. U, ~
3- /~3 / t{-hJ,~
/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT v;'O~K:...C~R REINSPECTION BEFORE COVERING
Inspector: -II V r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
UiSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
."