HomeMy WebLinkAboutBuilding Permit 04-0589
JUN-t4-2004 10:35
CITY OF PRIOR LAKE
9524474245
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CITY OF PRIOR LAKE BUILDING PERMIT.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(; 1.\ Clf"
t" ~t e:I'~.1 I PERMIT NO. 04- .us-ec;
(PltaN typt 0I'...;nt' _d ... at botrOliU
I ADDlU'SS
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BLOCK
LEGAl DESCRIPTION (office ... only)
ADDITION
P1Dz5". 018.0 oS'. 0
: OWNEllL' . f) ( . +
. (Name) d:,.{I'\.Q \' K h .._a...QJ,~ r
(Addn:ss) _1 L./ 7?l S y Cd Y>\. M 1l. Tr d ,I .s'L.,J
BUILDEll L1 .
(Company Name)..!}... rare! /3",,; lei. "'3 Co (\ -f r d L -I--'Jr5.
(ContaclName) .""k.h....-- (2,Q11'~'
(Addn:ss) 52./ i30 Iforo Av~ 5vJ ~lA.-r-r~/o
(Phone) <15). '-147.. S IS'
Pr,or L-d t:.. -(
(Phone) 7... 0'1 (, f? 2 - 02..2.2-
(Phone) S I/- I"11E
inN 55313
TYPE OF WORK 0 New COMtl"\u:tion DDtek OPordl $e.RoorMII CJRe-5adir18 DLower Ltvel Fil1isb Cj Fireplace
~dd.1don DAher.oun. DU~ilil)' ,.....Il.c:......;.:... 0 M~I":.
CODE: OI.Il..C. OI,B.C.
Type ot Conmw:ticm: I
OclI:upancy ""'up: A B E
tlividoa:
UWlVVA.B
FHIMRSU
I 2 3 f ,
PllOJ'ECTCOST/VALUE S J. ()()O' " C>
(...Iodlnll....)
. ll\mby ccnUy tbJll havr hJrn)jbed u\f'lL'maltllD Ctn chIS ippllCillloo wnktl h IQ rile b~SI: of my krvwl~'tllce lr\,l~ aa4 .;:orrm:. lAlso ccnify tballun the uwn,r \~ Autlu]t,a.'4 IlJmt for lilr 1
iltxJlft-ftW{llJoo(,.>d prope!'!)' lIld lhit lU ~I\,nuction ....ill camaIm tu a1\ ~XUllll; Jt4ItC aDd localla'lVl and 'tWill procHd ill. Aceonlucc with lillbmitted plaru., 1;\n'I ,"WifC rhar the bu.ildillJ I
~rzr.' "... FunhO<Umre. """"8". w, m. ""fit ;'-;;.. q':;"::/':;; p'."'" ,. ",~m ;.,':)"':f~-;; 4 .
- SiinalUr..~./ C.nb'lClOI', Lice... No. Do" I
I Parle Support F..
I SAC
I W..., M.ter Si2<l ';&": I";
l Pressure R..educr:r"
,Sewer/Water Connection Fel!
l Water Tower fee
I 5olld<:,'s Depolit
i Other
I TOTAl-DUE ,.is //~. C/U
I Paid f(p.VU I ~+. ~_:z:l;'
, Date /~ IS, /J q<--"
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II u C' Za:lnmaOrdl1'\llIl~(OC'tI'94l.- &i IlII:tIlClitCd. Thl~ docul'fll..'n> 1
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sptdal c:oMiti01lB. If aay _
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r>larlt1"" ~(QiI 14 'lOUI" pl)bct rQr." lupediOI\S (95)) 447.98!iO, ru (9~'%) "7.414~
16:100 Eoalo Cro<kAv",,' Prlo, Lak., MN 55372
I Permit Valuation
I Permit Fee
I Plan Check p",.
[5181. Surcharge
I P.n~Ily
I Plumbing Permit Pc.
I Mechanical Permit Fee
I Sewer &. Water Permit Fee
I
\ - Oa:: Firepltl~ Permit Fee
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- Tbls APplicatiOn iHcOmili f aut B1lilii1l8 pennil ;\'JIaI AffI'OY"
101R.. P.01
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~~~
S./C9~cr-~ 7.tF/
/CONTR,
ADDRESS
..J ~/,-f
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
FINAL
o SITE INSPECTION
PERMIT NO,
of/"- S~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: /1 /J
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~RK SAT~ORY PRnCElia-~
~~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto,: ~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
HUNOn