HomeMy WebLinkAboutBldg Permit 03-1554
(Please type or print and sign at bottom)
ADDRESS
<-J-7.:<.. J
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
;1}1 C;t.~v' e: ~
'-
J r.
LEGAL DESCRIPTION (office use only)
LOT5 BLOCK 3 ADDITION
I. White File
2, Pink City
3 ' Yellow Applicant
J~do.-
, 0 .
~~e~R Je:L-~\~ ) J.<~1.._J
(Address) '::;-7:Z I
.-L S r a-~)
M &. t.I <"-.s
'Tr
(Phone)
BUILDER
(Name) <5 ct r'l J c:r ,.{ 0 c-..."'1 <"J C.o r" c.
(Contact Name) LJ~yt')~ S~"da_L1
(Address) """'7.--. (/'\ ;.::- '-I ~.....v J, I P
:.?.......c .......... 'T'''' c;5 ~ .e:... (.c. " -e c:
TYPE OF WORK
o Misc.
Date Rec' d
PERMITNO.tJ3-155~
ZONING (office use)
II!, {;)-
PIDd5~ /~ s: t)37-()
(Phone)
(Phone) ~ S-Z- 'fCJ3 7/00
OLower Level Finish
ODeck o Porch ORe-Roofing ~e-Siding
o Fireplace OAddition OAlteration OTTtility Connection
~"Z-
PROJECTCOST/VALUE (excluding land) $ II Cj 00
o New Construction
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
aUthor"iZ" ~a ent for th above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
sUbm~'tted ns, I ware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up e p pe erform needed inspections.
X (1'11. '; Z:j- J I Z - I - 0 35
.. - Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
d 5(J?J-'
$ '74 - 7~
$ I,;J-t)
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
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
Other
TOTAL DUE
-
I Paid
I Date
I~
J ~ -/- ~
#
#
$
$
$
$
$
$
$
$
$ 7&,~
L/Sf':-H
,
#
#
Receipt No.
By r;:
U
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, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
i2)W no,
ADDRESS
t S-7,l1 ~C/-e.5
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o lNSULA TION
......oFINAL
o SITE INSPECTION
COMMENTS:
/ (/J
~/de
CONTR.
PERMIT NO.
03-/JTy'
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/) / /
Lo~ / t' f!:.- r e:
~SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO R SPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl