HomeMy WebLinkAboutBuilding Permit 03-0737
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Jr;D V6
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
to INSULA T'RN
FINAL \.~
r SITE INSPE~
COMMENTS:
SCHEDULED
/"
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
.., /7/,,-7
3-?37
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL 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!
INSNOTl
.m....,.-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
&.& .03
1. White File I PERMIT NO
2. Pink City o()tJ - t? 737
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
I$OZf; flr'r"rI~()O~
ZONING (office use)
I ~I '-
;e 15D
LEGAL DESCRIPTION (office use only)
LOT" BLOCK 2. ADDITION Ro.sp!ocr-'J /l.iJ.",
-s~
PID 25'- 34-Z- 6/(, - ()
~~\~
\5t>1-~ ~ C)\)~
OWNER
(Name)
(Phone) 4S-1--~1- 1"35'2.
k~ (r" ~"::>!>IL
1
1>(i o)F"
""":--..
\to
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
~eck
o Fireplace
ORe-Roofing
TYPE OF WORK
o New Construction
OPorch
ORe-Siding
o Addition
OAlteration
OUtility Connection
OLower Level Finish
f,060
o Misc.
PROJECTCOST/VALUE (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
SUbmitt~d '7.: 1 7WM< ""1 "', bWI_ ,ffidol em =,1<< <hi, pmn;l ro< i"" "",. F"""""'~, I ""'by """ "'" "" city ,ffidol 0< . ""i&= =Y
~terupot ~_ operty, );P~dedinspectiOns. l:,-t,-05
, "Signature Contractor's License No. Date
~O,Of)
$ toCf. 25"
$ Lf5, 0 ,
$ 1.00
$
$
$
$
$
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
II r:;. Z~
I
I ReceipiNo. ~~&/4-
By /1.
U"
I Paid //'): Z4
I Date . (,. (, . tTJ
This Application Becomes Your Building Permit When Approved
~~~
Building Official
&!b/~~
,
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.
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Aven!Je Prior Lake, MN 55372
Planning Director
~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /5"026 /-1P///JUJ oS/1 I ~ / -
TYPE OF WORK OCZlC-
USE OF BUILDING ~E3 /9/~
PERMIT NO. OJ - 0737 ' DATE ISSUED ~r ~. 03
BUILDER .A/t7 t,,? br / / t;::,- PHONE # #? - /t?5V
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
-
FOOTING I yW/ I (;-1(,. i/3
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
.... I I
INSPECTOR
DATE
~ FINAL
~
1/'7 I Cf:l..
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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