HomeMy WebLinkAboutBuilding Permit 03-0492
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
.,,(4']2- LY{)5~ovte1_~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIO}ll
.a<FINAL /J~ t,1L
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 TIllE
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ ~RK SATISFACTORY, PROCEED
;r CORRECT ACTION AND PROCEED
o CORREC~WORK LL FOR REINSPECTION BEFORE COVERING
7/ ((-"OJ.
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siltIl at bottom)
ADDRESS
69 "3d-
I. White File
2. Pink City
3. Yellow Applicant
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LEGAL DESCRIPTION (office use only)
LOT if BLOCK ~~ ADDITION
OWNER
(Name)
Date Rec' d
PERMIT NO'()3- L/tf;?-/
ZONING (office use)
f/LlSJJ
(r" . ~ ~aL f?J,'ci~ .~ rdpIri)S_j//r,-O/q-.()
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M JJuuJ :J
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
,J)lbeck
o Lower Level Finish
(Phone)
(Phone)
(Phone)
o Porch
ORe-Roofing
o Fireplace
OAlteration
DAddition
PROJECT COST IV ALUE (excluding land) $
/
I Permit Valuation
Permit Fee
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
Si~
plication which is to the best of my knowledge true and correct. I also certifY that I am the owner or
ro an at all construction will conform to all existing state and local laws and will proceed in accordance with
i g ffic' can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~ j /
-- 2. 'fjU/O ~
~ ~ Contractor's License No. Dale
9 DOc) ,-
$?~r ;)-5
..6</,./1
1,50 I
I
I
I
I
I
$
$
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
cW~ Rb
tI - ::J ~- n..-::l...
, --
1~2 - 2--2..(.0 - a;;U(x-
...
ORe-Siding
OUtility Connection
#
$
$
$
$
$
$
$
$
#
#
#
$/3fi/>?~
Receipt No.i/4Vi ?
By 04--/
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
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FE!. -Il' C17~T1J~j )3 :3
PROBE E~OINEERJNG ~O
TEL:t~2 432 1~23
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flROBE (~\\l~lf .~CN~~~"\~~~~~~I
ENGINEERING
. COMPANY, . iNC.
11)00 LUT 14... I'TUU, IURHIVILLE. IoIINNUOTA un?
( S~ i-ItYI1~ '~A';" . .1.....
.~~c. 7798.1JO .
BOOK 254
PAraE 53
CERTIFICATE OF SURVEY
Legal
Description: J./JT 4- 8/.,{)CK 2. C.41l0lMAL R/~ "T.JIIItD A/)/)/T/ON
. ~77" CdVNn; .'M/NN~TA. .
C!Ii.:f) DENOTES EXISTING ELEVATION
(9~3./') DeNOTES PROPOSED ELeVATION
INDICATES DIRECTION OF SURFACE DRAINAGE
'133. s.3 ... FINISHED GARAGE F"..OOR ELEVATION
9!o. 81 = BASEMENT FLOOR ElEVATION
'134-. I" = TOP OF FOUNDATION ELEVATION
~
6E.l./cN 111.f/lK: 7'</1111, LOt 7, ~ 2.
Bel/.- 9~8, 79
'CALE : " . Ill'
_CITY OF ~~I~~~
I hereby certify ~'1s c\.J\,i8n Is accurate to the best of
my knowfedge and. the CIty of PrIor Lak81s issuing
this permit based on the InformaIIota I,." submitted.
. I take tuB .~Dn8IbIIly far any In8ccunICIee en 1hIs
plan and I &gr881hat I am tar NL--Jna
any. . be .......11 willi
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! ..hereby certify that. thi. ia a true and correct raprll8entatian of :w t=act of
lIU\d."as sh<lIlln and d..cribad henan. As prepared. by me this j/ day ot
".,'reiMfPlll'l ,'l!Hi . ~...f It WA-Minn. Reg. No,. !908fJ
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PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 5t/f.,~ ~Ss4;drQ...,
TYPE OF WORK /)~G~ .
USE OF BUILD1NG ~F
PERMIT NO. 03 - ~. DATE ISSUED '-1- a ~
BUILDER IlJ.kJu~ C/ K1'f;J PHONE # ~ '"" 3el'fi'
NOTE: THIS IS NOT A PERMIT ~NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
FINAL
wP
7~~1f)
,
I
I
FOOTING I W I S"-.L.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850