HomeMy WebLinkAboutBuilding Permit 01-1271
CITY OF PRIOR LAKE
INSPECT/ON NOTICE
DATE TIME
OWNER
/'~ZI8
SCHEDULED 1- f -d Z.
,P~ t/16rJ
ADDRESS
CONTR.
PHONE NO.
/-/27 /
,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ WORK SA TIS FACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~OR REINSPECTION BEFORE COVERING
Inspector: ( Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPOIU ~Y CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
//-7-0/
I b?-l
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Phone)
I OWNER
(N ame)
(Address)
I. White File
2 Pink City
3 Yellow Applicant
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PID
. C J- f1'1 /;9/j/qL
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(07/5 /:51 t?'
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TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
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9S Z- -95Y - t.{b25'
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ODeck
OPorch
ORe-Roofing
OAlteration
Re-Siding
o Fireplace
DAddition
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct I also certity 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.
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Permit Valuation ~/SC> 0.00
Permit Fee $ 7tf. 7S-
Plan Check Fee $ -
State Surcharge $ {. 2-~
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~
11-7-0}
Building Official
Date
/Je. "Z(;>'L. ~3'1 yo
,,,-~;;S';k;> 0/
qr'l"-..-..'ti' 't;''''f:,'
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 7~.0 0
~~ i-JO,~ I
I '
I ~e;~7TJ
I Paid
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 for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372