HomeMy WebLinkAboutBuilding Permit 03-0485
(Please type or print and sign at bottom)
ADDRESS
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1?3:J.fj
() ~(J I' (/{1/) () 1',
.;
~c
LEGAL DESCRIPTION (office use only)
LOT 3~LOCK \
OWNER
(Name)
ADDITION
If_;)-9-03
PERMITNO. OJ-Llfsf
1. White File
2. Pink City
3. Yellow Applicant
I.. ~ 11A!yuNP d- ~
/2. Of) ~f If / y:tr;~'
(Address)
BUILDER lid.
(Name) I1Q Ill! 1)1
(Contact Name) ./ f< Y //1
{allff /'t{( f 1~11
t -7'1 r:c, (J'
./
17'90 V ,l_?tJ1~ S1- /:',
(Address)
TYPE OF WORK
[ o Misc.
o New Construction
OLower Level Finish
~Deck
o Fireplace
~n:GRce,use)
PIDd5''' 3/ld,- l)30-' 0
(Phone)
(o;4{(
(Phone) q 5' ;) .... '161 \ ij 5'9'"<--"7
(Phone) hi;;> ~ 5' I,q.-.;) >-O/G
tli4>~f// //to
OPorch
ORe-Roofing
OAlteration
PROJECT COST IV ALUE (excluding land) $
OAddition
ORe-Siding
OUtility Connection
I hereby certify that I hive 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 ~pon the ~perty to perform needed inspections.
X /A.~r-~.> :JO,;)/7J4-~ 'I1?9'~
. . "~ture 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
I
$
$
$
$
$
$
$
$
1,.sW Ov I
'-17 qO I
3/ . 1> I
, (..s
Th7/iit7fL'm Bnililing P~::;d
Building dfflcial Date
$
$
$
$
$
$
$
$
5-/-03 $ 79. (,~
Reg:ipt No?/Lr~S- ~
B~
U-
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
Builder's Deposit
Other
#
#
#
#
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 /i) Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issuedj/(M. ~ ~,..)O '0> {2-t<t.J ~ ~dl H-u'1cl OU"
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
I TOTAL DUE ~
Paid ~:.7C;/.~~~~
Date . ,5-0'- {/ -d
'"
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
SITE ADDRESS J '7~=a~ ~~,EcI ~
TYPE OF WORK ~c.~
USE OF BUILDING ~ F
PERMIT NO. 02-L/.I~ DATE ISSUED '" Gl'-0-3
BUILDER miiiiN.... C tJ IJS/Y PHONE #"'-JJ.. S/V- ;19'
NOTE: T~NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
.~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
t-- I I
t FI NAL
IM/
~-I)'-~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
n'JL-o ~(,"'~/'1 0--
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
er1=INAL /)1:(" It( 0 PLUMBING FINAL
o SITE INSPECTION. _~)_ 0 MECH FINAL
COMMENTS: ().
\--/
(
I l/;,..
// ( U)t.
_ _ f
!- 1/ -(
DATE nME
s:./L
:1-~~~-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
tJ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~- J),~ Owner/Contr:
-;
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
--- '--r