HomeMy WebLinkAboutBuilding Permit 03-0645
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~. ~i~i~e ~:;y I PERMIT NO.O'? -"()/:(J ,I "...
3, Yellow Applicant ~ It II'?
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
J'YP? IJ~ V )-k,/!.r /.>1"/" r
/
LEllAL DESCRit'uON (office use only)
C?J..3 . r.
LOT BLOCK / ADDITION '-" IVAI I/.)e:( 1f r
,
OWNER
(Name)
::J~
To r r"t' #
(Address)
BUILDER
(Name) tJ~ NJ'''' tfN N
(Contact Name) Gt:1( t' Y
/F9.> I'~z~
(Address)
TYPE OF WORK
o Misc.
)J 6 ;n I' ..f'
o New Construction
DLower Level Finish
fl
/ ~dp
PID .,2.5-, .Jf()-- OO.J - 0
(Phone)
't.$L -- -Y-Yd - Y5/:2-
(Phone) o,..j'l- ~o b.- i./~o C)
(Phone) ~ I~- J& 1'- 76 / ~
/7l /V SS/2. 4.
)
OPorch
ORe.Roofing
o Alteration
PROJECT COST IV ALUE (excluding land) $
o Fireplace
DAddition
t>r.' V ~ (&: rp/V
V
~
o Re.Siding
DUtility Connection
./
,./'
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and corre.ct~- 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 upon. .A the p;:~ ~o P,,"-;v/J neede inspections.
/' I ~ V', /;/sy ~/9-- () <
/ /?'Signature Contractor's License No. /'/ Date -
1/
Ii'
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~~dO,IJO
$ 50, l5J~
$ 3 ~. II
$ .70
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~M~
Building Official
oW; /t; f
· Date
Park Support Fee
#
$
$
$
$
$
$
$
$
$
8Lt, 7"
~/l.-
SAC
#
/7
ReceirV.1' No.
By /L.-..
o
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
~7~
Planning Director
Water Meter
Size 5/8"; I";
5~9~.J Jlb ~ ~ ~ IJ-/!.f~,
, 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
Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
Paid
Date
8 ~ -t/i:?
&, fc.01
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3l/~7
JlfE9
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
LJ:~
SCHEDULED ft,... $JI;f::f<.
"
~L ,.~~~
- 0 CO~TR. "
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
- ..-
'7 - (, Q~
"} ,- L,t7-!
o EXIGRADfFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
?~\/,-JU- ~H~d1--~ 10
/C;OO l~
'>tORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
CORREr'WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ' Owner/Contr:
CAL"
R THJ:. NEX;T INSPEC!TION 24 HOURS IN ADVANCE"
MENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
_ ^__.___.............__,_o__'_.._...___. ..-,"".'-'"
PRIOR LAKE
INSPECTION
RECORD .
SITE ADDRESS 318'1;sAr KlJdtU- btJle:
TYPE OF WORK New ~ AD/) ';-1.;>
USE OF BUILDING 3, F: A.
PERMIT NO. ()3-o(pttf5 DATE ISSUED ~
BUILDER ~N H~MSr PHONE#~."'.'''-l,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
IN~ECTOR DATE
I FOOTING ~J{ ~ \f ~ I 'a "\
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I FINAL
\
I ,,'\c\ I \ W
-~ l '-Q,
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
9" ~ !