HomeMy WebLinkAboutBuilding Permit 03-1158
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3.sC4
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
U/l-/(-M h...e..<--'^
CONTR. .
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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DATE TillE
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5-llr~
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/
/
/
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~WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: IIJf q- (q~v'> Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY!
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Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
J, Yellow
File
City
Applicant
(Please .!VI!e or print and sign at bottom)
ADDRESS 35&>4- W/l/!/OW Lf~ .J/.
LEGAL DESCRIPTION (olliee use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
_ (Phone)
(Address)
BUILDER
(Name)
(Contact Name) t p_C9 V
(/0
n,-l((
C n ru~ f
,f".,.u e r Q...V
1'Y3
(Phone)
(Phone)
(Address)
13 t!> )l'
TYPE OF WORK
o New Construction
ODeek
DPorch
ORe-Roofing
OLower Level Finish
o Fireplace
OAddition
DAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
r. ;;1.. 03
I PERMIT NO. (Jj - /1"56;
ZONING loffICe use)
PID z,5.108. OOJ. ()
~/'i7-/"13 <0
~e-Siding
DUtility 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-mentioned r'~r-'.J 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 upo~e p.roperty to ~ n:sJ1ed inspectious.
X ~.c ~~M C99,... O:;}~ c:> ~
Signature' - Contractor's License No. - Date
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
Penalty $
Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1 ";
\ Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
LDate
'd .(.IV
/A.7_.01
,
Building Official
Date
# $
# $
$
$
# $
# $
$
$
$ 7(0. ov
I ReceiJ;J,j <ff UJ
By A;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, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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