HomeMy WebLinkAboutBuilding Permit 03-0435
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
L[52f:,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
rj FINAL {J.", l
Ib SITE INSJirECTKm
COMMENTS:
DATE TIME
SCHEDULED lrL~~
~Wt.~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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'~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
Inspector:
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTJ
(Please type or print and si~ at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Vellow Applicant
Date Rec' d
,/_/5-0
PERMIT NO. 03'- <.(3~.
/1-5~
~M-
u
-
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LEGAL DESCRIPTION (office use only)
LOTI! BLOCK -3 ADDITION j:'AJOh 1-// J/
OWNER
(Name)
.f .
,-15~
(Address)
MQ.d iVY)
8rd
(Phone)
ZONING (office use)
12/
PID f2~- :Y-I9-0dla-C>
195 z) 0233- S/97
BUILDER J.lO()S~ iX-. SoJVlc~S L L c... (~/Z) 7~...g7(PG
(Name) (Phone)
(Contact Name) Rctt1d.'/ lC1tZ (Phone)
I
(Address) / S37J Do6 cq f C Irc/Q_ ~rlor /.-ctkr. )4JJ SS-37:}.
TYPE OF WORK
o Misc,
o New Construction
OLower Level Finish
~eck
o Porch
ORe-Roofing
o Fireplace
o Alteration
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
;terupon~~ections. cl03g177~ '1/15103
~ Signature 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
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
PROJECT COST IV ALUE (excluding land) $
OAddition
$
$
$
$
$
$
$
$
~OaJ/O~
t,Cj,;J.S
1/5,0/
I,. 00
,
This Application Becomes Your Building Permit When Approved
Building Official
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 TOTAL DUE
I Paid,~ //'1 "d-h
I Date 'l--15-^~
#
#
#
#
$
$
$
$
$
$
$
$
$ IlrJ,dh
By
. .
Receipt No. Ll40'7/
~.--:
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, 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
SITE ADDRESS J.I S ~,
TYPE OF WORK Dee-Ie
USE OF BUILDING .s EJ) ,
PERMIT NO. DB-It/y- DATE ISSUED l/-IS-.J .
BUILDER If(Juse. Dv. Se.ruic..eS PHONE#~/;7'i3.i?'"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
.
I ~
INSPECTOR
DATE
FOOTING I ~ I ~~ tro
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
..-L I I
r FINAL -5'~ I c,(~/~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850