HomeMy WebLinkAboutBuilding Permit 03-0253
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3-1,03
(Please type or print and sign at bottom)
ADDRESS
I. White File I PERMIT NO
2. Pink City . Ql? _ 0'" r::::3
3. Yellow Applicant l.;> ~
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LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT
BLOCK
ADDITION
PIDZS- 322-033- 0
OWNER
(Name)
(Phone)
(Address)
BUILDER--.-
(Name) -...j ok
(Contact Name)
(Address) 4d-q~
fC
\
~_c;. c_ j,A..J' i) u.......
(Phone) C, i;).. .... 't 4 ()- 1/ OS
(Phone)
G i~""'~"VC>C'(t. C \.r--
TYPE OF WORK
o New Construction
~ower Level Finish
3eM5
DDeck
o Porch
ORe-Roofing
~ireplace
OAddition
OAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) S
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
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 ~et{ope~ pe1frm :eeded inspections.
X Clx~;,,( ~\~ Lle)1 3'-'-03
\ . ~ - Signan:re Contractor's License No. Date
Permit Valuation .3, 000. C) 0
Permit Fee $ 74-.75
Plan Check Fee $
State Surcharge $ 1..5V
Penalty $
Plumbing Permit Fee $ 4-0.0 D
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 4-0. () 0
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
I Water Tower Fee
I Builder's Deposit
Other
#
#
TOTAL DUE
~~om BWlding Pomit Wh<n Appnwed
r J-7-()"3
Building' Official Date
. Paid
Date
/.!:> r., .7E
_ 3- ?...IJ'?
$
$
$
$
$
$
$
$
$/5'.25
ReceiPt"Jo. ~9-'?/
By ""!--
o
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
/2-((;( c1 UJUd/ i t'~ ( haYlrf <'tiff--
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /&322- V(~ToR-IA C>>R-vE:
NATURE OF WORK /..--0 wt5e &Evf;L
USE OF BUILDING E.ES /t/IC
PERMIT NO. tJ3 -0253 DATE ISSUED .3.7.03
CONTRACTOR rAS/iNOVI7 PHONE &/2. CJ4{). 7/08
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING ~ J- /4
INSULATION _f/VP :1-/4
ELECTRICAL
PLUMBING j/tf/ 7/4
HEATING (if required) I1/f? ?-/C-(
FIREPLACE /11$ >-)0
GAS LINE AIR TEST tI7If yjA)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(JIP'
~r-/ /7
1/10
rv(./
OCCUPY 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.
4-1;
L-f - /J
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
T-
I .
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Ie 31 J., Vl"'~r"-
~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING (f)
o INSULATION
., FINAL
o SITE INSPECTI
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FIN~.
,/iiY MECH FINAL \y
COMMENTS:
D"TE
TIME
'-(- /2
)-, 2~~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
IHSHOTJ
-.......--"-...-
h'~
~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ L.{-11.....01 Owner/Contr:
gALL 447-9851) FOR THE NEXT INSF:ECTION 24 HOURS IN ADV.A,NCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETY!
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