HomeMy WebLinkAboutBuilding Permit 03-0800
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSU~I9l! ~
)C'(fINAL ~.,....-
o SITE INSPECTION
COMMENTS:
_ JATE / TIME
SCHEDULED fd7.1~~ 3: Of:)
1 (,4Z 1 0Arc~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
F(~
/ftS5ei>
(;A--tJ56- f1 U7
o WORK SATISFACTORY, PROCEED
,
o CORRECT AC~TON N 1l0CEED
o CORRECT WOR , F)~ REINSPECTION BEFORE COVERING
Inspector: ' Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl
T
(Please type or print and si~ at bottom)
ADDRESS
1#2-1
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
t11I/ZbGA- 1& W/f1j
LEGAL DESCRIPTION (office use only)
LOT~OCK / ADDITION
OWNER
(Name)
(Address)
/'1070tJW (/fGVt./
BUILDER
(Name)
(Contact Name)
(Address)
~{,\l\A ("ee..J\
~ eJt~ ~Y\.f1<---V\
IQ2,-~ IU6Ctt.~ ArK.
(\)V\~\-'l Y\.?\
o
~p~
(Phone)
(Phone)
65"/0 Z.
TYPE OF WORK
o Misc.
o New Construction
.
~eck
o Fireplace
(Phone)
OPorch
o Lower Level Finish
PROJECT COST IV ALUE (excluding land) $
OAddition
Date Rec' d
"./7. O?
PERMIT NO. 03 -0800
ZONING (office use)
,eZ-
PID25-3&? -624-0
!JJIZ - 4 9o~ 7Cj{g"7
. ,
ORe-Roofing
ORe-Siding
OAlteration
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 Pla~~ro~ aware. th" tho building offiOO = =o]re tho p=i' "" jw' a=. F""",""ore, I horeby ._ th" tho ciiy officio! OJ. a designee may
=teruponth)7~OrmneededinSpectiOns.. &.._ ZwloDz 72- 1...0-/7- 0. ~
~ . siooa~ - 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
!ZOab,OO
$ ,,'t. Z.S
$ 45.0'
$ I. () 0
$
$
$
$
$
pplication Becomes You.!: Building Permit When Approved
Builuingoffil~ &'1/l~3
I Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE tALtt.L..
Paid
Date
.I; r- UF/>o
,} ~......,J~J ~
~_ 2.- .()")
# $
# $
$
$
# $
# $
$
$
~.18. 03 $ ~/S, ZIP
i'-'
ReceiPllN6. q.--'f'&~ ~
By r
/
I
!
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce I:d 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 ( ertificate of Occupancy must be
issued.
Planning Director
I
Date Special Conditions, if any I
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 144-2/ ~7Z&Ci/1/G N/fV
TYPE OF WORK I)EeI~ '
USE OF BUILDING /Z65 Ak
PERMIT NO. a3~08CJO . DATE ISSUED ft,./7.05' .
BUILDER ~LLV GIe.{3i5N PHONE # IPIZ-.4--90. 7q~7
NOTE: THIS IS NOTA PE'RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING I ~ I (; j 1-, te8
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
'I
/) I I /
Kl~.l ~ /2 7 / 6J~
.. .
~ 'FINAL
FOR ALL INSPECTIONS (952) 447-9850
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