HomeMy WebLinkAboutBuilding Permit 03-0542
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5"- (, . 03
z -(, It./-
(Please type or print and sign at bottom)
ADDRESS
3035 !306t11 /
/ K/I'I/ I.-
LEGAL DESCRIPTION (office use only)
I. White File
2. Pink City
J . Yellow Applicant
LOT 22BLOCK 3 ADDITION ..,-H-e WI '-OS So t./7H
.Il
PERMIT NO. 03-054'Z-
ZONING (office use)
,e/
PID ~&)-382- ()7~ -0
&:R ~",_A- "^ lA~~:2t~-hhone) tl.s-2- ~qJ.-lOq'L
(Address) \51d..O S(""PAtlL- (1\I1.G 6 \~ML.:) S~ls?
BUILDER , t I \ '- \ t
(Name) ~~r- WtiLJ\~/,
(Contact Name) (;1 .' 4-fevr:h'(ry\,
(Address)
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
(Phone) A~'L,.. ~2--- ~
(Phone) g 51-- 4./22.- Z-lP ss-
~eck
o Fireplace
OPorch
ORe-Roofing
OAddition
o Alteration
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
,"le' ",,00 "" ~orm '''''',d _ctioM. _
X ~"'. _~.~/ ~-/p-O~
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 Firepl~ Permit F
II
ca' nB
PROJECT COST IV ALUE (excluding land) $
$
$
$
$
$
$
$
$
'3CJt)&~ -
6:1. Z-~
~4-.11
/5V
/ /
, y mB,-,p~lf;
/ Dite
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
Other
TOTAL DUE
I Paid
I Date
tipj.t6 0
$'. ". 03
# $
# $
$
$
# $
# $
$
$
$/3B.80
"
ReceiptMo. .rr~~/
U
"-.
. This is to certify that the request in theati'"." _"plication 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 (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
DATE TIME
...
,#'fleE
SCHEDULED
(0....70
,,..;)DRESS -30~S- ~,.-y-r~
OWNER CONTR.
PHONE NO.
PERMIT NO.
CJ~-n~7.
o FOOTING
o FOUNDATION
o FRAMING
Q, INSULA.I!ON (_
JZN=INAL \;Je.c "'--..
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I ~ ):w;t-u Q1
1.Jr.<.A- -1-" & ~ \~~ ..-+c~rS
I
([J
~~D\
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORREC~~K' CALL FOR REINSPECTION BEFORE COVERING
'..pedoc - J Y Owo."Cont"
CALL :c4~-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
'"
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 3035 lJ()]!~ ~/V
TYPE OF WORK 06f,K- _
USE OF BUILDING !U;S ~/~
PERMIT NO. Os - 054 z- ' DATE ISSUED S. ~. 03
BUILDER We-I &I&G:! PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING ,,)(/ I mcrroR I ')' r1T J
PLACE NO CONCRETE UNTIL AB~VE HAS BEEN SIGNED
.--' I I J
'ttl/L- .
I FINAL I fj' / I (P,. 13 r
Call between 8:00 and 9:00 A.M.. or all inspections
FOR ALL INSPECTIONS (952) 447-9850
"