HomeMy WebLinkAboutBuilding Permit 03-0530
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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; ~i~i~e ~::y I PERMIT NO'Q3_/,)~20 I
3. Yellow Applicant . V,-",..;.,.J
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
LOT +-BLOCK 4- ADDITION 77-16 W / &/::)S S 6'L/1JI
PID zs- - 3:
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(Address)
OWNE~
(Name)
(Phone)
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BUILDER
(Name)
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F rC{ ne Ie
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(Contact Name)
(Address)
J-o WiJ'i If>
(Phone)
(Phone)
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o New Construction
OPorch
ORe-Roofing
ORe-Siding
TYPE OF WORK
o Lower Level Finish
OAddition
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
DAlteration
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 plan. 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 operty to p form n ded inspections.
...
o Misc.
x
Signature
Permit Valuation ~O OJ'
Permit Fee $ &) J:..S'
Plan Check Fee $ St.-{l'.!..
State Surcharge $ I ,SO
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Date
5"-r-<J3
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE t. IlIA I M"f} 5', (0 . 01 $ 1][[ ~
I Paid (/ IJ~Y,. ~I Receip~t:!J1~
Da~ -,ij-o ~
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 Citytf~er constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. . ~ S:-G-O> Qto.d ~"4. Otd( !-fd.4d()(}1
Panning 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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(p-Ho.o3 ~:~#)
ADDRESS / f;3 3S- ~\&_ lU~,
OWNER CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
FINAL D.ufc.
o SITE INSPECTION
o PLUMBING RI
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 GASLlNE AIR TST
o
COMMENTS:
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Owner/Contr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTI
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PRIOR LAKE
INSPECTION
RECORD
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DEPARTMENT OF
BUILDING AND INSPECTION
I FINAL
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850