HomeMy WebLinkAboutBldg Permit 03-1295
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
9. z1-; OS
I. White File
2 Pink City
J. Y cHow Applicant
(Please type or print and si,:ul at bv~~vAU)
ADDRESS
5(pIO (!,8]17 /C. WOOD
~.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
BUILDER -- L' .. - rJ
(Name) ~/17f:;J" /-fOnD //V7'p/e~t/&r1C/v/
(Contact Name) ---11"2, k~_ _~/k~.#<,
(Address) (; H nDtJ06 t::iJO/1lL/ /-rl/~
Date Rec' d
PERMIT NO. {)3 -/2/15'
ZONING (office use)
Pup
PID z5. 2-1+. 0 d5, 0
(Phone)
{Phone)~-1- 5'7/ . 67,*, 2-
6tJu:J1dU t/A~Y
TYPE OF WORK
o New Construction
ODeck
o Porch
ORe-Roofing
OLower Level Finish
o Fireplace
OAddition
OAlteration
o Misc,
PROJECT COST IV ALUE (excluding land) $
,)('Re-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
=terupontheproPpi4-R~r ~ 2'~~ >
P Signature Contractor's License No. JI:z %rev
I Permit Valuation ~r5lJo~dJ I Park Support Fee
I Permit Fee $ . 7'-175 I SAC
I Plan Check Fee $ I Water Meter Size 5/8"; 1";
I State Surcharge $ /. 1S- I Pressure Reducer
I Penalty $ I City SAC and WAC
I Plumbing Permit Fee $ I Water Tower Fee
I Mechanical Permit Fee $ I Builder's Deposit
I Sewer & Water Permit Fee $ lather
I Gas Fireplace Permit Fee $ I TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid ,. /~ .OV
Date 9. ~~O?
Building Official
Date
#
#
#
#
$
$
$
$
$
$
$
$
$ /0'U'J
Receipt tlJ. ~r,JY
BVr.
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 for all inspections (952) 447-9850, tax (9Si) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~()
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
""'FINAL
/[]' SITE INSPECTION
COMMENTS:
;f:s/d:
SCHEDULED
DATE TIME
#/a.r
~~'4/~j
CONTR.
PERMIT NO.
0.3 ./,,29S-
o PLUMBING Rl
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
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~';"ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~;~: YR REINSPECT/ON BEFORE COVERING
Inspector: ~/--' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IliSNOTI