HomeMy WebLinkAboutBldg Permit 03-0524
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
9~n:'21
(Please ..!VD~ or pJlint and sign at bottom)
ADDRESS
"fO"1+ t> ~ 0 t./ qr! /I /V1
LEGAL DES CRlPTION (office use only)
I PERMIT NO. (J3-S;l)Y'
I
\. Wllite File
2. Pink City
3. Yellow Applicant
t)L-VD.
LOT II BlOCK I ADDITION C'/lIV<.'II7C1& IIIU.-5' 2/1/P
OWNER
(Name)
L3t81i C; G;
(Address)
BUILDER
(Name)
(Contact N an e)
(Address)
TYPE OF W0RK
o Misc.
.PlOI N
o New Construction
DLower Level Finish
Date Rec'd
I I
ZONING (office use)
telSD
PID z~-2fj~- 01/-0
(Phone) a-?J q" H I '11.0
(Phone)
(Phone)
~eCk
o Fireplace
DPorch
DAddition
ORe-Roofing
DAlteration
ORe-Siding
OUtility Connection
I hereby certify t lat..J...l'tfY.i ed 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 agen ffif ~ ove- entioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted pi I w that the official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon e po e 'ons. ~
X /f ----? . >-/Z 0 ~
T- Signat}ilJY"" Contractor's License No. Date
v
Permit Valuati< n
I Permit Fee
I Plan Check Fe<
I State Surcharg~
I Penalty
I Plumbing Pern it Fee
I Mechanical Pel mit Fee
I Sewer & WateI Permit Fee
I Gas Fireplace 1 'ermit Fee
PROJECTCOST/VALUE (excluding land) $
$
$
$
$
$
$
$
$
"3<<;0. 0 0
€H.Z5
6'-1./ ,
1.50
This Applicati< n Becomes Your Building Permit When Approved
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I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid~;:-?~/ ~
I Date P,-2-
$
$
$
$
$
$
$
$
$ /38.I/N.
I Receipt No_ YL!'){)(
Bv / /A
1J-
#
#
#
#
This is to certify th* 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.
llanning 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
PAIOR LAKE
INSPECTION
SITE ADDRESS 4t,!} 21tAq.~ ~/&J
TYP:: OF WORK ~ ...,
USE OF BUILDIN~F
PERMIT NO. - tI DATE ISSUED .s. ~-t)a
BUilDER .AJI'J,J~t;ft PHONE#~/7'
NOl E: THIS IS NOT A P'?R'MI~R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUilDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I ~ I &/Z/f<;fj
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
__ I I
I FIN~L
11"
II \D
I e- 2,'2--tl~
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 SCHEDULED B. 22 0,;:2
ADDRESS 4Q(./'{ (Z,t-/)f)~
OWNER CONTR.
PHONE NO. PERMIT NO. '!?-5'Zf.{
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
JB-FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
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~. ORKSATISFACTORY.PROCE~
I .___' .
-;P-1.:i,j'1 u...c~ ( ACTION AND PROCEED
o COR?J!.EC . CALL FOR REINSPECTION BEFORE COVERING
Inspecto . Owner/Contr:
C LL 1J:~9:2R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
co'p{R~QrvfeMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/ INSNOrl