HomeMy WebLinkAboutBuilding Permit 03-0876
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
(7(p-rC( Ou!:l,"1.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION /L.. //
..)i!I"'FINAL , ft "te-
D SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
COMMENTS:
DATE TIME
7-IL
iJ
~- 8"7 ~
D EXIGRADIFILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
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/wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
D CORRECT WO/? CA. LL FOR REINSPECTION BEFORE COVERING
Inspector: t (/ 7 - { ( 0'7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I/iSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
/t7f1
I. White File
2. Pink City
3 . Yellow Applicant
PERMIT NO. 03 -g/}h
I~
LEGAL DESCRIPTION (office use only)
LOT JIfBLOCK .;(. ADDITIOP~ ~ '
OWNER
(Name)
Rose )/P/Jne/1
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
ZONING (office use)
Jef SD
PID;ZJ.... 0 / ~ l/"O-1.7
(Phone) 9'So7- (/(/7- c:l6/7
(Phone)
(Phone)
./
TYPE OF WORK 0 New Construction ~Deck o Porch ORe-Roofing
DLower Level Finish . 0 Fireplace OAddition DAlteration
.11 . I J- J.h S774//L$' IAeUi~€l>
o Misc. f<.E:l:)1(t.C/:;~t!,...., 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-mentio ed property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitte ans. I am awar at e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter on e property ~e needed inspections. I'J: ! 03
/ l Conttactor's License No. /1 ';;ate
/ 1/// // V.
Permit Valuat\on ,. Zf)tJ(') ~ tJlJ
fo9, 2S
4S.o I
1,00
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Park Support Fee
#
$
$
$
$
$
$
$
$
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
I City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
#
#
This Application Becomes Your Building Permit When Approved
~ ~ '1/'//:)3
Paid
Date
//G".?./C,
7. I. ri/
Building Official
Date
ORe-Siding
DUtility Connection
$
$
$
$
$
$
$
$
$
//5". Z~
Receipt Yo. ~.b
By 0_
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, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION
RECORD
lJJ ". '
OLLft.
. USE OF BUILDING 5'-
PERMIT NO. () 3- 8'1(, DATE ISSUED
. BUILDER ~ H'I!'IVNe~ PHONE #
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
cI
INSPECTOR
DATE
FOOTING I tIt(/ I 7-/)-d),
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
t FINAL
~
VW/
,/"~'d)
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850 '