HomeMy WebLinkAboutBuilding Permit 03-1531
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
1/.18~03
PERMIT NO. 03 ,./531
(Please type or print and sisn at bottom)
ADDRESS
S 'I ,~ 8oulllf~ Sf.
,
SE-
LEGAL DESCRIPTION (office use only)
LOT /3BLOCK.:3 ADDITION/3/U)OK:JV/6?G' #r~J 0 n-r
ZONING (office use)
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PID z5. /e7. f>>z,. D
OWNER
(Name)
PakJ A. &e
(Phone)
Cf52- 2 ;)(0- 'If.~:J..,
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
~eck
o Fireplace
o Alteration
ORe-Roofing
o New Construction
o Porch
OAddition
OLower Level Finish
o Misc.
PROJECT COST IV ALUE (excluding land) $
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
enter upon the property to perform needed inspections.
X j;;?~./(~__Il
, Si~
Contractor's License No.
Permit Valuation J.~Cl1J ~
Pc.J.uJt Fee $ . Gq J..s
Plan Check Fee $ 4~ l2L
State Surcharge $ I 00
_.
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Pc.uuit Fee $
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
#
#
J2)./~v :2~3
Date
$
$
$
$
$
$
$
$
$
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Building fficial Date
I Paid //.54 Z.(o
I Date 11.,/9J03
- Recei~ ()~/
By r-
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 compUance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
i -fb J 11u d tdr.
Date Special Conditions, if any
24 hour notice tor all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
tJ-.,;1dtV~
~
PRIOR LAKE
INSPECTION
REOORD
SITE ADDRESS 6' +ft, (p ISClUN TV ~i ..
TYPE OF WORK Ot/UC
USE OF BUILDING ~J /if Jl-"
PERMIT NO. - OJ. /SJ / ' DATE ISSUED Illff.,O..?
BUILDER 1.?~1l.&, p/tUG PHONE # Z2k? 47B? .
~ '
'i NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
FOOTING ~ tl/~~.. t.~
PLACE NO CONCRETE UNTIIL ABOVE HAS BEEN SIGNED
FINAL
/f~ I /
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Call between 8:00 and 91:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NonCE
DATE
~~~Y'
s~6 $o.4v <SY
./
CONTR.
TillE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO. C:J~-/S-J /
o FOOTING 0 PLUMQING RI 0 EXIGRADIFILUNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
~I SULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
INAL 0 PLUMBING FINAL 0 GASUNE AIR TST
tJ SITE INSPECTION 0 MECH FINAL 0
COMMENTS: /J ./ _/ /
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~ORKSATISFAC~EED ~
/0 'CORRECT ACTION AND PROCEED
o CORRECT WO'~~'IJjJ REINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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