HomeMy WebLinkAboutBuilding Permit 03-0557
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
5~ 9. {[3
L White File I PERMIT NO. 03-0b-5~
2, Pink City
3, Yenow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use) ,
5310/ ArnBLEWOOf) D~ AlE
LEGAL DESCRIPTION (office use only)
LOT z... BLOCK Z ADDITION
?7H flV6JA./. 7V
/Vo,e.p1 S/;o/l.e O~
PID 2.S - -:s40 ~l 0 -0
OWNER
(Name)
Cony E lLt K.: \ '::::C>N
SA-rt\ E As A-Bo\.le
(Address)
BUILDER
(Name)
#t;;'IIIF
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
Ie I SD
(Phone)
%"2 -Z'53-35lP7
95"2 - eC;~-9'2~'T
(Phone)
(Phone)
~eck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace OAddition OAIteration OUtility Connection
PROJECTCOST/VALUE (exc1udingland) $ .:t: #;.s-OO ~
I
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 upon the pr~~T9' tO~~~d~!.'e~ons, /
X ~~ ;:;~,/~~-~ ~ 5'~/OD-3ate
~ Signature Contractor's License No. /' ~
o Misc.
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
OLower Level Finish
$
$
$
$
$
$
$
$
IJ J7)O (1'p-
. pI OJ..
:J~ II.!!.
.7F
Th11.PJliCirr Becomes Your Building P~t When Approved
/fW~ /J1J;:1/h... .:s - '-0 -:I
Building Official Date
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
I Other
I TOTAL DUE ~ SAt'61
I Paid
I Date
^ -, - ,-
~ 'C/.1{:;
;::;, I?J- '?J
$
$
$
$
$
$
$
$
$ ~q(~~
Receipt No. (,) LlS;j I
By C/_
ct-
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 th~~,ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
ISsued. AI j 17
i ftA-J r s:- q A () ') (It. t'Ct J 111.( d<<k I-I-a ",d (ld T
Planning Director Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
)
,
Ftjyfll{ h
.,
SCHEDULED
SJt, ( /~ .iI... lA/h/'))
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Dp'dL
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-------
DATE TIME
.-C-((,
~-.~7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Ylflf
/ {)r~r ,.J eft: (I
--
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/
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- I
- ~
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: --'14!.-ro or ) ~ -0;' Owner/Contr:
CALL 447-9850 FOR, THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTI
.."
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS !S3IIIIfH8U~ ~
~PEOFWORK ~
USE OF BUILDING Jf!:e,S JfI~
PERMIT NO. -"3- fl5t57 DATE ISSUED ~ 43 7
BUILDER I PHONE #-333. .3511
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING O(J~ 1'11(.,./ s., /(;;tJ) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
____ I I
FINAL t1/(./ 0'--16 - t(J.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850