HomeMy WebLinkAboutBuilding Permit 03-0495
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sij!;ll at bottom)
ADDRESS
-.5 "5 S- I
(Address)
BUILDER ~.
(N ame) .~. c'"'-SC... ^(' ) L~
(Contact Name) T C,l"l"
(Address) l{ )qS-
I. White File
2. Pink City
3. Ye\low Applicant
Date Rec' d
f ~9-03
PERMIT NO. 03 - 0 '115'
if
ZONING (office use)
k!:J-S{J
PIDd5"-3~~- ()37,j
(Phone)
LJt.j, - 10CjO
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tcY\s+-.
1<- ~~Sc-~-,<~
C~rtJ\..(/"\ ~XxO
(Phone)
(Phone) /nl-:t- C140 '--7/08
G It',^-,~-Lr
LEGAL DESCRlPTION (offire u", olly) ,/) /}, . . . ~
LOT ~OCK 'I ADDITION ~ 0lji,Li.
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~=~R ~~k_ ~Yd_iA.
3-3 Sl Cr::J 0v'. I A ~"Lr
TYPE OF WORK
o New Construction
OLower Level Finish
~j
ODeck
~rch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
OAlteration
o Misc.
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~ thuilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo~ prop51fY ~o perform n ed insptctions.
X"'~ <-='-a~ __ 4-ca<){ 1...( -d-O-C:J.~
, Signature '---- Contractor's License No. Date /'
I Permit Valuation 2lJOO. 00
I Permit Fee $ (oq. zs
I Plan Check Fee $ 4S,a I
I State Surcharge $ l. ClO
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
c~~
#P4 /03
Building Official
Date
Park Support Fee
SAC
#
- #
$
$
$
$
$
$
$
$
$
II'S-~
Water Meter
Size 5/8"; I";
, ,- _ _ / /\
Receipt No. Llll ~ / v
By 1JL'/'
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
Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ('JHAf)) k--3fJ...Q3
I Paid'J)/i:;;- /;)h
I Date 5 -S-~3
#
#
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.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3351
5-3o~
~
SCHEDULED
J
OWNER
PHONE NO.
PERMIT NO.
() 3 -t/c;5
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)iQINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
r\ If -~
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-
I'~ I.~ L -e - 11
( fI ju../ ~ I/O
'-' r y---
t
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
*
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
'"
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
SITE ADDRESS ~~~~~2. 71t~,
TYPE OF WORK Ci ~QS. ~Oe7L t>fl:.Ic. /lttlLeJA..
USE OF BUILDING ~,F: J) · .
PERMIT NO. ()3-() 1'15 DATE ISSUED J2"~'
BUILDER ~VA ~. PHONE#IJZ.rw~2L1Jf
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I VlIYJ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
. FRAMING I M/ I ~, 7s-(/")
I FINAL
1:..lt~. ~ ~#- 07 ja(q5
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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