HomeMy WebLinkAboutBuilding Permit 03-0712
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~~ #:OJ
I. White File I PERMIT NO
2 Pink City .O? -Or?/2-
3, Yellow Applicant .::> /
(Please type or print and si~ at bottom)
ADDRESS
335/ 11//'-0
~/eJ'C;
~/I It:--
ZONING (office use)
/Ci
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25-..375- tJZ-.7-()
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) ~L~'\..: 'L_b~\\.~,
(Contact Name) ~~\.L
(Address) J J <0.). Q ~~'\~..~
, " -
,_ -;:->-t\ - '.H.
(Phone)~..l ~ 41!J ~
(Phone)
~\.. -
~ ."...\ rS \,.\ ~ _ q,
~~. ~ '3-:1!i
,
TYPE OF WORK
o New Construction
J
~eck
b Fireplace
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (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
sUbmitte~. 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 up !tY to perform ne~, ~nspections. ,
X. "-- ) "--./ ---.... ~ .... II - 0 .J
) """""- c,?\litore, Contractor's License No, Date
/
I Permit Valuation ,f4~Oo. 00 I Park Support Fee # $
I Permit Fee $ '17,~5 I SAC # $
I Plan Check Fee $ " 3. 2/ I Water Meter Size 5/8"; I"; $
I State Surcharge $ /.OtJ I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Permit Fee $ I TOTAL DUE $ /6 2. ~r..
a _
This Application Becomes Your Building Permit When Approved I Paid /~2~, ~ Receiit No. 4e!f- /;, tJ7
...
~ 7d~ '!!i~:J I Date -t,. F.O'f 0'
Building Official ' Date
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 TIlliE
CITY OF PRIOR LAKE f&1
INSPECTION NOTICE SCHEDULED ~.'61
ADDRESS 33Sl uJ.\J ~J
OWNER CONTR.
PHONE NO. PERMIT NO. ~- 7/7
o FOOTING o PLUMBING RI o EXIGRADfFlLLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
..w'FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORREC K, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
n __.__~.~___~___..~.___._.___._.._~,.___'<~._..__......_-.----"'-..
..
PRIOR LAKE
INSPECTION
RECORD
3357 h/IL-O /frJKJ6, et/L.
U~ I
USE OF BUILDING ~S hl/C.-
PERMIT NO. OJ-07/1-- 'DATE ISSUED &.4-.0.3
BUILDER f/tR / / ' PHONE # ~ IZ. 22/. 4/91
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
INSPECTOR
DATE
FOOTING I ~ <= ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
- I I
~
FINAL ,(f f> ' ~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850