HomeMy WebLinkAboutBldg Permit 03-0215
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANC
AND UTILITY CONNECTION PERMIT
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
~:)\(..
,
(Address)
flJ~
IW'IEBI!tt Co ~
(Name) T'rGL"""'- Alo.V'l'Y) I :i'", Q
(Contact Name) 'K.U\A MOl.~.Lr'
(Address) S-OD fu~t Ir"'-~.~'S
1. White
2 Pink
3 Yellow
File
City
Applicant
~..e/OK-O/JLJ5 I1I1L-L)
PID
(Phone)
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~ ~ @ ~ \haW~~1
FEB 2 1 2003 ~
-02-/5
ZONING (office use)
1B
~ Q()Z- oZ/- 0
(,,17 ^ 964- -, '6-,)')
~
(Phone)
(Phone)
fliJIl'15 villi
ere;;)- Y!; '1'-1 -I, 0 0
'l5'J-3'l'5'- 3S-S^3
flA,N SS- 33"
TYPE OF WORK
DDeck
DRe.Siding
o New Construction
DLower Level Finish
o Fireplace
PROJECTCOST/VALUE (excluding land) $
s;-no
o Misc.
DPorch
DRe.Roofing
~Alteration
DUtility 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
Permit Valuation 560, ~~
Permit Fee $ Z3. SO
Plan Check Fee $ /'5.27
State Surcharge $ .50
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Official
Date
DAddition
CC.O(9 III
Contractor's License No.
Park Support Fee
SAC
#
#
:;./; 3/0 ~
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.
Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
[Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Builder's Deposit
Other
TOTAL DUE
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I ~ 7& 0 7O/VJiJ70 A-1/6
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3. ZIS'"
o FOOTING
o FOUNDATION
o FRAMtNG
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
o EllIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
t1~OJ6 ptu5
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WW,1A1I't ~CTION BEFORE COVERING
Inspector: ~ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETYI
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