HomeMy WebLinkAboutBuilding Permit 03-0571
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
S. It/. 03
I. White File I PERMIT NO
2. Pink City . () ? - /') C:-7/
3. Yellow Applicant ..> ~
(Please type or print and sign. at bu..uu.)
ADDRESS
/ & f; 28 WI (;..,{.,.I) W L-/f tJ 6"
ZONING (office use)
.e..-/
LEGAL DESCRIPTION (office use only)
LOT e BLOCK 4- ADDITION M~(I~
~m-
PID25~2.~-6Z.1'-O
OWNER
(Name)
MfA.^-H~
U
II) /RZ A
(Phone)
q S 2 - 2 2- 6,36 ()<2}
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o Misc,
o New Construction
~ ower Level Finish
Y'-~ I ~dl1
DDeck
o Fireplace
DPorch
ORe-Roofing
ORe-Siding
OAddition
DAlteration
OUtility Connection
PROJECT COSTIVALUE (excluding land) $
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 uponf(li:e. roperty.to p~rm needed inspect:J.. 'ons,
X A. f-: 1/UJ> PJ 'I J tJ- . CJ) - ICr .- "21rO 3
, (J Signature" t) Contractor's License No. Date
I Permit Valuation /, () 0 0 .00 Park Support Fee # $
I Permit Fee $ .31/- .75' SAC # $
Plan Check Fee $ I Water Meter Size 5/8"; 1"; $
State Surcharge $ _ 50 I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ I Water Tower Fee # $
Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ I Other $
Gas Fireplace Permit Fee $ I TOTAL DUE $ 35.25
AI
I Paid Ij)
I Date
Building Official
o:fi~/
Date
::3s, at-s
:7 '- .IL( -I') ~
Receipt No. LIt.! j -:j;J
By 'j ~. __
This Application Becomes Your Building Permit When Approved
~~
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, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
DATE TIME
CITY OF PRIOR LAKE
INSPEcTION NOTICE
ScHEDULED
$>Jo
ADDRESS
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OWNER
CONTR,
PHONE NO.
PERMIT NO.
?- L(tr.~
COMMENTS:
o PLUMBING RI
D MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ Ivci'i f/~" J
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
// I IJZ-(
C/'t-L-
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p'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: (v(J b-JU-U) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IMNOTl
PRIOR LAKE DEPARTMENT OF
. . BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS
NATURE OF WORK
/'&1328 W/vvtJW LANG ,
L() W t0P- LEVEL,.., / ( R/l)
USE OF BUILDING I? ~5 /I/~ '- ~
PERMIT NO. _ 03 -057 I / DATE ISSUED .:;i. /4-, Q3
CONTRACTOR M/R~/f PHONE 22ft? ~~roo8...
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
den-. e.
'0 '-I fJ(/, /J--c."..-
I
FRAMING
INSULATION
ELECTRICAL
-
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
t/!/J,/.?
~~ Jd. tJ"!:>
HEATING vt1/7 6''- ~??-'?)
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850