HomeMy WebLinkAboutBuilding Permit 03-0421
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS llflS
OWNER
~K;. ~,'I ~~\
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
~_NSULA TION I~
~INAL It.
o SITE I~TION
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 GASLINE AIR TST
o
COMMENTS:
-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~J WK, CALL FOR REINSPECTION BEFORE COVERING
Inspector I Owner/Contr:
CAL\.'44l 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4..-//-1:8
(Please type or print and siltl1 at bottom)
ADDRESS
3305
rox
-mIL-
LEGAL DESCRIPTION (office use only)
1. White File
2. Pink City
3. Yellow Applicant
. / .e4'9/ '--
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LOT I BLOCK / ADDITION TH6 WIt-OS sm /lOON.
PERMIT NO. oJ - () 4' 7/ / I
ZONING (office use)
leI
PID 25-375- 001-0
H"~L- ,.tS'"z.. '('17 ~ t; 7~
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(Phone)~...,,,J Vn'" '<. ,.~z." '1"/ "Z..S()
OWNER
(Name) ~ S ZJI.,I" .AJ,$t, ... V. ~ .',.,; t:or-'L-
(Address) 3.3 DS- ~ 1".- ,. I f',. (
BUILDER I ,...
(Name) S e.. -t-
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
o Misc.
OLower Level Finish
PROJECTCOST/VALUE (excluding land) $
(Phone) 95 z.. "tlf7 'w'7 7 (
(Phone)
~eck
o Fireplace
ORe-Roofing
OPorch
OAddition
OAlteration
ORe-Siding
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 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
enter upon the property to perform needed inspections.
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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
$
$
$
$
$
$
$
$
30~a, DO
I
g S , z.s
!SLId'
I.S-o
This Application Becomes Your Building Permit When Approved
~=1~
Building Official
"I'h 1!t,3
. I Dafe
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid
I Date
/YYF&
. ~..-/ /....07
'(-/1-03
Date
# $
# $
$
$
# $
# $
$
$
$ /38,a~
ReceiptNL,. #'UJ b
By 1;:..
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
./
,,,. _. 4 .
PRIOR LAKE
INSPECTION
RECORD
3305 ~x I All- TIZA/L Jt/, b(j,
tJE;k!) t&-~/L
'5.1=76,
DATE ISSUED 4////03
, ,
BUILDER fj) IItt ~ ~Pd 11I'>/<- " PHONE #?5z - 9 ~o/ -~s tJ
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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
USE OF BUILDING
PERMIT NO. ()J- O~I
~CTOR DATE
FOOTING U) c- I ( /1l5 I ~.. uj
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
FINAL
f/j:) ?-/J
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
.