HomeMy WebLinkAboutBuilding Permit 03-0242
(Please type or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
j- '-/-3
I. White File I PERMIT NO
2. Pink City . 0\;:> _ oz .-1- '7
3. Yellow Applicant ~ &f" ~
.
lVa. \ l
ZONING (office use)
211 .., 4-
Bobt-tt+
1</
LEGAL DESCRIPTION (office use only)
LOT~I BLOCK ) ADDITION
OWNER
(Name)
I i/~ JmdiL
PIrb75- 3g ~- 6).1-0
l-\a. +t Le-hvV\-ltl LL
'2'\. 4- ~Dbt tt4-""'f\ra l ,
(Address)
BUILDER
(Name)
(Contact Name)
~ev
ILtt\rA.-
(Address)
\ 4.4 t)'b
TYPE OF WORK
o Misc.
(Phone) 9 S 1- - b 4 e - 5 0 0 "'L
COv'\ <.. -hvU ~ (;Y\
r_ ~ V\ c... -In l' "" f' V--
~vL vV\~ \t \ \ \-e... ~ \t \NY
(Phone)
(Phone)
q~ L - 441) - 'I' c;;. 0
{4\..l\; he.. V ~ 'L( I
t1. t-.i ~c::. ~ DlP
o New Construction
,
~
o Fireplace
DAddition
o Porch
ORe-Roofing
ORe-Siding
OAlteration
OUtility Connection
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
~I 1:>0 D
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 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 upon the yr~~rty to perform nee d inspections. ) /.
X ~-'1 r 20L\LPHD 3 ..t O~
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
.r
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
I City SAC and WAC # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $
I TOTAL DUE ~ JmJJtv ?rr-oJ $ 13e.~b
s our Building Permit When Approved
] - f"'--O"]
Paid
Date
f~B .~
S/IOlo'~
,
Receipt No. 4-~" 't3
By (U)jlt
Date
, This is to certify that the re uest 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 Ci constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ 1-S""-03 (2-CCtC/ Dee<<- /4V1dot/+
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
,
,
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
2l1,4-
Bobc.o. +
'\
.
\Vtt \ I
Date Rec' d
)- L!-3
I. White File I PERMIT NO
2. Pink City . J'J? _ oz I ?
3. Yellow Applicant U __ "f' ~
LEGAL DESCRIPTION (office use only) f)
LOT~I BLOCK I ADDITION (j)Ji{tJ &1dit
OWNER Y\ oJ-t L-e-tbvV\--{tl LL
(Name)
(Address) 2qi4- ~O bf' a-\ !va l\
BUILDER
(Name)
(Contact Name)
~~t'V'
k:'o. v A-
(Address)
C bY\ <... -\vv( ~ -h 6:V\
t It\ \- \ <.. -h; '0 "" f' ~
.
{) It \Iv'-./
k
o Fireplace
\441)\)
~Vl \- V\s. '" \ \ \-e..
TYPE OF WORK
o New Construction
o Misc.
DLower Level Finish
PROJECT COST/VALUE (excluding land) $
5,00 D
ZONING (office use)
1</
PIq)5"- 38~-@I-O
(Phone) q S L. - b 4 e:> - S 0 0 '-
Q<'2' 440 -'I "0
(Phone)
(Phone)
p'IA \ V\ l:., \. II \ ( I
t1~
<:, c.. 2, Dlt>
ORe-Siding
OUtility Connection
I her~ 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
authqrized 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
subn'!itted 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-upon the Fro}'~rty to perform ne..ed:d inspections. ) I
X JjJf,{1( ~'5~1A...- 2D L \ LP \\ D 3 4 b ~
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
A .000 I
.r 8'3' "t.)-- I
54,/) I
/'50 1
This ~~cat)m Bec~s lOur Building Permit When Approved
rf/t./~ t1~ ]-~-07
Building Olial Date
OPorch
ORe-Roofing
"
".
$
$
$
$
$
$
$
$
$15B.~b
Receipt No. 4 ~1 ifS
By (UJ bt
. 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 Cim. r constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issuell;tJ. Ot;()/VVt-.. '] - ) - 0;; (2 -reA cI 0 n: /( /-1 (A .'1 Cl/ld+
, 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
'-T
DAddition
DAlteration
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC #
Water Tower Fee #
Builder's Deposit
I Other
I TOTAL DUE t f-/1 Ajl!,)) ?;. '( - U J
I Paid
I Date
/39. ~l~
7.Jr<.Io <..
~ -1
~
PRIOR LAKE
INSPECTION
SITE ADDRESS .z.~C2~ r,.u
TYPE OF WORK O~4,lt.
USE OF BUILDING $. F. 0 .
PERMIT NO.. t1.3--0242- . DATE;SSUED J.. r., tJ~
BUILDER J~i~' (flrf.$t~7,'tNt PHONE#9a.. ",,()..~~()
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
~INSPECTOR
, J FOOTING , ~ ::r~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
DATE
I FINAL
I /i Il; I 3 J.W ~ >
Call between 8:00 and 9:00 A.t.l ~r all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED S -;2.0 -03 ItJ: ~
ADDRESS
;),'7q I5obcJ-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
03 - Qc(z.-
o FOOTING
o FOUNDATION
o FRAMING
o INSUL~!ION I
piNAL u.o.ae:.
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~\.~~
Yu
\\to '
\J
-
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~r')' CALL FOR REINSPECTION BEFORE COVERING
Inspector:. , ,) \ ( l, Owner/Contr:
CALljtr~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNon