HomeMy WebLinkAboutBuilding Permit 03-0699
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
6. J () I
1. White
2. Pink
], Yellow
File
City
Applicant
I PERMIT NO. OJ-6?9'7
(Please'!vpe or 'Print and sign. at bottom)
ADDRESS
/t!/(QI)
. .
(l,r:@J/Jlncd ef-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LO# BLOC0 ADDITION ~ Po /lAC'/ ,~ rei
PIDo(1S- ;).ILf- 030-C
OWNER r'f' '
(Name) '-"'J 1/)1
Parns A
(Phone)
4'1 S- - 3b S-1
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~Ck
o Fireplace
DPorch
DAddition
ORe-Roofing
ORe-Siding
DLower Level Finish
DAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 Ioca11aws and will proceed in accordance with
submitted plans. I am~w th building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enterupon~eproperty p ~dedinSProns. / /
X y~ ~ 0 3/0>
/..... . Signature Contractor's License No. "Date'
I Pentt Vallation i/tJotJ. 00 Park Support Fee # $
I perm'\Fee/ $" 7. Z:;; SAC # $
I PlanCh'oolcFee $ /4;;:.2-1 I Water Meter Size 5/8"; I"; $
I State Surcharge $"7-. Dtt I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ I Water Tower Fee # $
\ Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Permit Fee $ I TOTALDUE $ /r".Z.<((P
/7
I ReceiptJ(o. .,.~#S
By -.A-
U
c;?~ ~
c; /j'/t1~
Paid /t,.;>. .,-0
Date t:, 7 "r
This Application Becomes Your Building Permit When Approved
Building Official
Date
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 fnr all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION
SITE ADDRESS 14'/~" ~1AJd~ en
TYPE OF WORK -rJ614J
USE OF BUILDING S.F: D_
PERMIT NO. tJ;3- 6(;Cjq DATE ISSUED ~
BUILDER ~M. ~IS'H PHONE #_'/'1S-S'S'f
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
OATE
/ FOOTING I IjI/V/ I ur (~-U)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL
1/////.../ I
fr'(d 'u<1
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
..
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
k~1 O-D(
J U/~() /-edtl/f.L,?l')d c.r
SCHEDULED
OWNER
CONTR.
PHONE NO.
.:g -C'!f
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION /I - C 1/
)i!"'FINAL f.JC IL.
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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L,
I I
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PRO ED
o CORRECT WOR EINSPECTlON BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH.{ SAFETY!
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