HomeMy WebLinkAboutBuilding Permit 03-0445
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS (G ~ J,t Wi !/I)U) Lvr..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Jii"'FINAL L- f L \
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
S'lo
3--'-ItI~
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o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
glrWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: rvr? S 7u-V; Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
.. "_"""^"'_"_."'_-<--"~--..__._.-
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
0' UTILITY CONNECTION PERMIT
. 'J.'It 19 t.-/I r-/
Is / ' __ I WhIte File PERMIT NO .A A.L-
2 Pmk City . /l ? - O~ --:;>
3 Yellow Applicant (..t..J
(Please type or print and sign at bu"uu.)
ADDRESS
uJ.
/6ez~ W/t.A.,OW
LEGAL DESCRit'TlON (office use only)
LOT ~ BLOCK 4- ADDITION Iv' IL-f., ()~V.s G T11
4- ,/1---a:l
ZONING (office use)
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PID~- Z,~-6Z-.r-O
OWNER
(Name)
(Phone)
152.2-2.6 '360 g
MI1R (fl HU B
MitZ"2A
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
'fiLower Level Finish
DDeck
o Porch
ORe-Roofing
o Fireplace
OAddition
o Alteration
o Misc,
PROJECT COST IV ALUE (excluding land) $
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.
X ~q~
I - ~ignature Contractor's License No. Date
$
$
$
$
$
$
$
$
/1 $
/I -
Rece~No. 441Z/0
By "j..... .
o
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
).000 c/O
G J- ,).~
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
Pressure Reducer
#
#
$
$
$
$
$
$
$
$
100
#
Sewer & Water Permit Fee
City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other 6"~ M V
I TOTAL DUE
#
Gas Fireplace Permit Fee
ThiS, ~li~ation!lclmes Your Building Permit When Approved
1M IIvk ~"'II-cf?:>
Building Official Date
~b
~- /7#'(}}
Paid
Date
/. (j 0
~~, Z-~
iZ--c: C{ ~
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
Luw..r ITt/r (
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
/fa ~(lV 1-
PRIOR LAKE
INSPECTION RECORD
/~g?B 'lI/~~(}itJ //l/llC
Id2IA/U ~~vc5L.--
USE OF BUILDING ;e.e-J /.f I /L-
PERMIT NO. ()3~()~~ F DATE ISSUED 4--/7"-{}.3
CONTRACTOR //1/CZ/1 PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SITE ADDRESS
NATURE OF WORK
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING ~ (~rA~
INSULATION
ELECTRICAL fX1-.
HEATING (if required) ..
~
~ tlt~1-
?JC-- t{ t 2--L
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
~ __..._h 1.-
HEATING f,///Y? 5-30 -6>
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
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FOR ALL INSPECTIONS (952) 447-9850