HomeMy WebLinkAboutBuilding 02-0203
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-aQ-Ol q ~()D
ADDRESS 3, 31ft, 6-I~ t'I t.,uab
OWNER CONTR.
PHONE NO.
PERMIT NO.
~ -Dl..O~~
o FOOTING
o FOUNDATION
o FRAMING
~D INSULATION
t\ ~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 GAS LINE AIR TST
o
COMMENTS: L-L-
c~{%;e ~'Q,
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K\CALL FOR REINSPECTION BEFORE COVERING
Inspector:~ .lJ Owner/Contr:
CALL 447-9850 FOR T E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNO T1
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3 - .5-~()L-
:1fOO -0085
33/~ GL\fN WI1Tb~
1, White File I PERMIT NO I
2 Pink City . OZ-O Z 03
3 Yellow Applicant ,
~/L-
NrI
ZONING (office use)
1<.25D
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK Z. ADDITION 6LV/\lN,q~ 2 NO
I
OWNER l' .
(Name) Ch(l S
(Address) 331lJ;
He.)') 1Le,1.'5 ( .8I1eH6L-)
/
G L '-(NW(f ~ 'If
PIDZQ-3G,S - 01 D-t)
(Phone) ~52) 22<C- '- 7 ';) ,
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
o New Construction
J{r:ower Level Finish
3 J2tV/5.
o Fireplace o Addition DAlteration
a;l ()
PROJECT COST IV ALUE (excluding land) $ '-I,otJO, .-
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-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 aw e th the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon th ro p m needed inspections.
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
-
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
/.50
o
ecomes Your Building Permit When Approved
s-(p-~
Date
Contractor's License No.
J/3j02-
,
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1 "; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE ~ ''17/n g-7~tJv $ / /~. 2..5
Paid
Date
/1 ~ .:U:;--
3 '_/.3 ~ 0 Z--
I ~;e~ 4/Vl1
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. ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
The Center of Ihf' Llkt COon1l1'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
HE-Nice, LS
3 -5 -OL
APPLICATION RECEIVED
Comments:
Accepted With Corrections
Denied ~
Reviewed By:
e6AD 7Jf6
FINlbH
Accepted
j-&'-o2
Date:
~OW6e. 1-6V6G
fll1NDOUT
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 33/(0 C1'-YAlNATER- ~/L NW
NATURE OF WORK L()W6E ~L-
USE OF BUILDING /2CS /1 /~
PERMIT NO. 02- 0203' DATE ISSUED 3-&'-02-
CONTRACTOR. J-IbNf::E/.-S PHONE 2Z~ - 273 I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
i I
I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
~-1' '1-Ci L-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
-cJcr
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have 'been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850