HomeMy WebLinkAboutBuilding Permit 03-0212
(Please type or print and siJUl at bottom)
ADDRESS
/SO/4
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/JpprJ ?O OJ/1t7
Date Rec' d
2. Z(,.Q3
I. White File I PERMIT NO
2, Pink City . /'l ~ ... 0 ., /2-
3, Yellow Applicant ~ ""
77U-
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK 2... ADDITION ,e,qJ P. ~ 06.-6 ..3 eo
OWNER
(Name)
10drA ( R ph rrY:V\
11 rv IJ V lrt p (
(Phone)
(Address)
BUILDER l' . I, 0 S ItA
(Name) V\'~~l/f \ JII1
(Contact Na~e) ~ \n'
(Address) '1 \ 140 1-6~i'yl11W1~
TYPE OF WORK
o Misc.
f ('
~ fJ ~{rUUr t'fJY\
ftAi~
o New Construction
%ower Level Finish
.3 AfWYl/.
(Phone)
(Phone)
~k-( II ,I 'r
1'<1[\1
o Deck
o Porch
ORe-Roofing
o Alteration
ZONING (office use)
IefJ'O
PID 25 ~34Z- tJ/7-0
(;I~" Y')Lt-ICC'2
<)<) () ttl.\-
ORe-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
authorizec'~nt 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 pl s. 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
;'" upm'tGCUi ~"""iI"'~mp<ctio.. 1. OOO'-tOCk _ L -11; -0 1
sl~1re Contractor's License No. Date
I Permit 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
o Fireplace
OAddition
PROJECT COST IV ALUE (excluding land) $
3, 000,06
$ ?~ 7S-
$
$ /,ro
$
$ 4-0,00
$
$
$ ~(). 00
This Application Becomes Your Building Permit When Approved
~f YadtJ
Building Official
~~&'/a.3
,
Date
I Park Support Fee
I SAC
I 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 TO'PALDUE
I Paid / 5't,.. Z5
I Date ? ^ ., 'l/ Os
(...""" -
4~
$
$
$
$
$
$
$
$
$/5(0. ?5
. Receipt ~ 4'-39>:S-
By ":1-.
U
#
#
#
#
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
is~~
Planning Director
~~ft:3
, 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
PRIOR LAKE 'DEPARTMENTOF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /50/4- /fPP/I L-OOS'/9 ~/ L-
NATURE OF WORK LowER. LEV6L-
USE OF BUILDING I2e 5" /9 / ~
PERMIT NO. ()3-t) z I 2- ' DATE ISSUED Z - 2 &, J' 63 .
CONTRACTOR //t./'7C61U 7t/ D55/6 AJ PHONE &12.., 63'1--. /(,c, Z-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.... I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
. -
FRAMING vrr 'SAIL ~ (JJ
INSULATION yvr-/ 3~ 11. -0)
ELECTRICAL '3-,1- 03
PLUMBING Vl{J ~~ II - a)
HEATING (if required) y1;{ 3-- 11- OJ.
FIREPLACE V7I(7 1.- )/-03
~AS LINE AIR TEST ~ ~ _ II' ff7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
INSPECTOR
DATE
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
lIW
t;:'"v I
}tvtl
,I rVV
UNTIL ABOVE HAS
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.
!;- /
7"/
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
Ii
I 1
i r
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 5':./_ q'J
ADDRESS I bOIl{ IrfP4/005.4
OWNER CONTR.
PHONE NO. PERMIT NO. 'l-J-()...
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION t,.. I- o SEWER HOOKUP o FIREPLACE FINAL
~FINAL 1 f o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
\
<C'/A
I I v-L
./
/ , ()S-l
L-/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: (1/f ~....{ 1../':) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl