HomeMy WebLinkAboutBuilding Permit 03-1314
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
10. J..)..~
ADDRESS
~ 7 f>J-.
I/Q 7h. .s rr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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"'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~RK.};!:}L FOR REINSPECTION BEFORE COVERING
Inspector: r vy' Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
9. 2, 9. <7.3
Date Rec' d
~. ~i~i~e ~::y I PERMIT NO. O'? _ /.'?/ A.
J. Yellow Applicant :...> :...;> 'r
(Please tyoe or orint and sign at bottom)
ADDRESS
37~2, 4-, &'1 ~
/70771 Sf. S.t,U.
LEGAL DESCRIPTION (office use only)
LOT / BLOCK / ADDITION WeJ f bU(;G' e;:r m I t;;A
OWNER
(Name)
(Phone)
(Address)
:~)ER &nrJ4". Lit;!! b~ V "
(Contact Name) /1~cJ? C ,r
,
(Address) } 'I f~ J 65 1-1, ~/
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(Phone)
(Phone)
h/Vlr
~'hr" j i#~1.~
,
" '.
. /
~e-ROOfing
DAlteration
TYPE OF WORK
o New Construction
ODeck
DPorch
OLower Level Finish
D Fireplace
DAddition
DMisc.
PROJECT COST/VALUE (excluding land) $
ZONING (office use)
J(:2-
PID "2~2-1-7. OO/. ()
Ljv5"" --Lei/ 9'
~C;-j '79'
~ ,
o 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-m tioned 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 the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon ~e p~ to needed inspe~ons.
X J1 t" 'J7- 27 - D J
Contractor's License No.
Permit Valuation 7-, SOO.UzJ I Park Support Fee
Permit Fee $ , I SAC
I Plan Check Fee $ I Water Meter Size 5/8"; I";
I State Surcharge $ 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 $ I Other
I Gas Fireplace Permit Fee $ I TOTAL DUE
This Application Becomes Your Building Permit When Approved
7(..C/V
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Paid
Date
Building Official
Date
Date
# $
# $
$
$
# $
# $
$
$
$ 7(,. (/V
( ) ~
2f ~o. "7(,?t'
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