HomeMy WebLinkAboutBuilding Permit 03-0546
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
5 t2'-/
LEGAL DESCRIPTION (office use only)
LOT ILl BLOCK.9 ADDITION
,
OWNER
(Name)
(Address)
BUILDER
(Name) ~t\~'C...
(Contact Name)
(Address)
5: 7. 03
L White File I PERMIT NO
2. Pink City . /'l '? -OS,A-/-
J. Yellow Applicant ~,- ~
eard/"ua-I R, c/qe-
TYPE OF WORK
o New Construction
#~d~/(~i
1?okr+ L,'Jd /~
o Misc.
OLower Level Finish
PROJECT COST/VALUE (excluding land) $
o Fireplace
OAddition
OAlteration
It,--
ZONING (office use)
PleD
PID ~~- ;J-t(tJ- ()1./5"'~0
(Phone)
1S~- d.)b.~<fOO
(Phone)
(Phone)
~
OPorch
ORe-Roofing
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
exnter upo~~ P~P~,t~~orm needed inspections.
~ ~ bS-07-o3.
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
~ q/:1$"'$
J.ts:O " $
1,ot.)$
$
$
$
$
$
"'
~()(j,tfO
~.~
".'/111~
~
This Application Becomes Your Building Permit When Approved
~1~
Building Official
6/8/0'3
Date
I Park Support Fee #
I SAC #
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC #
I Water Tower Fee #
Builder's Deposit
Other
I TOTAL DUE ~ 5.9.0)
Pai~ / 1.5- ~;;b
Date .:s-! '! - /) ~
$
$
$
$
$
$
$
$ .l1S....:J..'
$ 188.jJi&,
Receipt NoL/tlS'd cA...
By /2.C.;
-0
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
51>.l-'1 Lgyc;}(VlP,! fl,.d~~
OWNER
CONTR.
PHONE NO.
'~MIT NO.
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
D FOOTING
D FOUNDATION
D FRAMING
D INSULA TIONO f/
. FINAL -tt- '-
D SITE INSPECTION
COMMENTS:
/ ) D/ A
I /1 JL
~
--~
,.
'-" I
I
DATE TIME
~I' Il-d].
5 - 5L{(,
D EXIGRADIFILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
~RK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: v1I(? C- {'Jt--YlJ
OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INmOTl
'~/
'"
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS S-A?~ b~/Iv/JL-- K::IOq6 ~// .
TYPE OF WORK oevc
USE OF BUILDING /ZCS .r;//Z..
PERMIT NO. -.f}3 - 0540 . DATE ISSUED 5, 7. GG .
BUILDER /-100L-6, ~Og6el PHONE# Zz&. 2-900
,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
, FOOTING I Vvf I S -l.~:"d? J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I J
INSPECTOR
DATE
, FINAL
-
!r:;V Y/ ('" , l---,U)
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850