HomeMy WebLinkAboutBuilding Permit 03-0551
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvI>e or print and sign at bottom)
ADDRESS
5g/7
MI&O/NrtL-
LEGAL DESCRLt' nON (office use only)
I. White File
2. Pink City
3. Ye!low Applicant
elOq6
17U- :s e
LOT3BLOCK 2-ADDITION ~/tJ~ leAoti6
/:if
OWNER
(Name)
~v ct::rnjJE~tf/E1/E~
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
OLower Level Finish
o Misc.
(Phone)
(Phone)
(Phone)
")(Deck
o Fireplace
o Porch
ORe-Roofing
OAlteration
OAddition
PROJECT COST IV ALUE (excluding land) $
Date Rec' d
5... 7, 03
PERMIT NO{)3 -055 I
ZONING (office use)
PUD
PID 20 -299- ~2.3 -0
%;)- r;'1?-55"S~
ORe-Siding
OUtility Connection
I hereby certifY that I have fumished 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 Plan. ,. I .m/ r.t~ ." building offici" = =0,", "'" p<m>il fm irnt """. Fmth=~. I h<reby 'gre< thot the city. official or a designee may
;te7i;:/k(6:;~ns. o~r;--o?~Q3
I -- I 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 $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $ .
1'\ I' 1 . f !
This APWca~#!F~.' / s our Building perm!:-i'en ~vproved
V.!1 . . ",-.--'\ ~ /., //n
I" 'j ''''--L i I jVJ
Building Othcial . Date ·
4,000.00
f;r,2$
t3.Z-/
2.00
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
lather
I TOTAL DUE
I Paid /3 fJ. fj ~
I Date .:s:.7. 03
#
#
#
#
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 (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
[&,11 Cwc!(~().( @AdfJ<'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION/1-.1
~FINAL /./<A-'/L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DA.TE
TIME
.
'.
.
~-vl
J~sr-I
o EXIGRADIfILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
)2!""'CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: H ~.JoO'O> . Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETY!
I/iSNon
. ----------------.---
_,.' ......' .. ... _ _ . __ . ' -,~- ..., 10... .<,....'J..."",___......,._~_.c ,.....,;
,,"
..........~........_...,...,.....~.
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
~;."
SITE ADDRESS .58/1 t!/Q7UJ/Il//lz..." /<'-f066/X-L-
TYPE OF WORK pe- (AC,
USE OF BUILDING /U3:S /1//2-
PERMIT NO, ();5-0557' DATE ISSUED 5,7.05
BUILDER G/Z/6 ve.s PHONE # #7 5(S2-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
.)
\
\ .
" .J .
I FOOTING ,n/J'?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I ,t/l1P I ~vL~-cn.,
I FINAL
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850