HomeMy WebLinkAboutBuilding Permit 03-0390
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ii' FINAL
t'O SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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COMMENTS:
DATE TIME
'-<j - 34CJ
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
::O:ECT ~OR REINS:::::FORE COVEmNG
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNon
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~ at bottom)
ADDRESS
(J) yo ~3 La/How l0;oa 5+.
I. White File
2. Pink City
3 . Yellow Applicant
Pr/~~ ~
LEGAL DESCRL.pTlON (office use only)
LOT~LOCK~ ADDITION 1lAai:h~ jJt/}1~ a rd
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~Loru, .... f!'dool<; JohUOh ~
(Address) '-10",3 LV, J lIJlA.J /;JOcxJ Sf- .prl~ LMu-
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
Date Rec' d
PERMIT NO.t:'3_ ~q"o
ZONING (office use)
Rl
PID~S- 3d-~...OI3-~t)
(PhoneL95~) L/Lt7-ll~ftJ
(Phone)
(Phone)
~eck
o Fireplace
o Porch
ORe-Roofing
OAddition
OAlteration
PROJECT COST/VALUE (excluding land) $
I hereby certify that I have fumished 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
submi lans. 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
on e property to perform needed inspections.
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'" V Signature
(, (
~it Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
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This Application Becomes Your Building Permit When Approved
Building Official
Date
Contractor's License No.
Park Support Fee
SAC
Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
.. J /.} I I-:J
I Paid ~(I.), "'V7--'
I Date '-I - A -c.....~
#
#
#
#
ORe-Siding
OUtility Connection
LJ.... ~-O.3
Date
$
$
$
$
$
$
$
$
$ 04,13
ReceiptJ;:Io.L!t/() u()
By (r.
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 (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
P R I 0 R LA KE ~OEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
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SITE ADDRESS
TYPE OF WORK
USE OF BUILDING D,-~(::.. / J
PERMIT NO. -'l.~- 3CZ{) DATE ISSUED 4/z /0:)
BUILDER i..u~/V JJ/.iJ'oi5C)/"-" PHONE" ' .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I~SF'.ECJ;OR . DATE
FOOTING I /lIIY./ I '1-'1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
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FINAL
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
.
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