HomeMy WebLinkAboutBuilding Permit 03-0443
DATE
J,!t/83
,
J,~;).C1 ~W I/t~'.1
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)i!f'" FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
nilE
'3 ,Lt'-t3
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
J 0 Gm'NE AIR TST
p<? ~/~
Ft~
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~RJ'lALL FOR 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!
INSNOn
.....,---
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siM at bottom)
ADDRESS
/JdZ ~ -.I::SLA.IV<)
Date Rec' d
I. White File
2 Pink City
3. Ye\low Applicant
1/_11- 03
PERMIT NO. 03 _ '-I ((~
Z/?Is?j)ffice use)
0e/J J ;eL:> /\/.' 4J :
LEGAL DESCRIPTION (office use only)
LOTh BLOCK I ADDITION
~CM1d 0 ~
PIDd5~ Ocf5'- (JO'7 -()
OWNER
(Name) KeA/ _~.,e- L3R~.., 4
(Phone) 9.SZ - ~ 7-~ Z?'V-
(Address) /S8.z'7-.~/VL> tlLe-aJ .RoO. /VLJ. , ?~ /ALE: A'?A/.
BUILDER
(Name) L).L. FR€~OPN
(Contact Name)
(Phone) 7'5L- ~~ 7-8crz~
(Phone)
(Address) ?3.::> 7', /""LO~L>O Sr:;::5. e:
TYPE OF WORK
o New Construction
P~t!JR. ~.,g.~ A'11'V'.
~eck
o Porch
ORe-Roofing
ORe-Siding
OLower Level Finish 0 Fireplace OAddition OAlteration
o Miscf5j L~ rot- FUfUre. 'PtlrCkROJECTCOST/VALUE (excluding land) $ #~..,t!:>OO
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 planSy I am aware that the building 0 cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon th roperty 0 pe eeded inspe 'ons.
x
t/
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
113000, at)
$ A3. z..S
I $ ~L.{. \ ,
I $ I. 50
I $
I $
I $
I $
I $
This Application Becomes Your Building Permit When Approved
~+~~
Building Official
.,to"~
f Date
Conttactor's License No.
4~CJ /a,~
,- bate'
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; 1"; $
I Pressure Reducer $
I City SAC and WAC # $
I Water Tower Fee # $
I Builder's Deposit $
IOili~ $
I TOTAL DUE t1j-ffle;Cl Q-lb--03. $ ! 3 g. 8"~
.I f'A' if fJ
Paid is J h _ ReceiPtD4o. 9'~pll
Date 4,/7...-0./ By~_
o
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 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.
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l} \(0,03
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
White . Building
Canary - Engineering
c-r-InK - ~ianmnlJ:>
The' ('"nlrr of Ihr tikI' ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j
.. ! t
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/"
.r" " ... I t, /
. / ~ '. i '"
Accepted
y.
Accepted With Corrections
Denied
Reviewed By: ~~ \C-
Date:
1-f,jl -D?J
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
.-.
I
P RIO R LA K E ~~rtD~~~~~ ~~SPECTION
INSPECTION
RECORD
SITE ADDRESS ISBZ'I IrLA,J(J (,EW ~OAO ~.tA).
TYPE OF WORK tJE~ W'IC./l)C~.!tJ ~J.1=u.Ta~
USE OF BUILDING -PO tie" 'I-) MIIJC).
PERMIT NO. 03- 1./1./3 DATE ISSUED .., Uc.1Ju
BUILDER ]).c... ~,,..~~ PHONE #!/SlJ/I/'1-ms
( NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ FOOTING I~. I LI111-/L53
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
.
~ FINAL ~ 771; t?~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850