HomeMy WebLinkAboutBuilding Permit 03-0599
DATE TIME
CITY OF PRIOR LAKE 2-c,
INSPECTION NOTICE SCHEDULED
ADDRESS .:?~~ q ~ 17Af ( 1r/
OWNER CONTR.
PHONE NO. PERMIT NO. ~-({'1q
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH Rl o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION L- C- D SEWER HOOKUP o FIREPLACE FINAL
~INAL / ( o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~
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/ / I C/~ ')
I I \ r\>< ~ /
I 1./ /'
~- --- ~
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT/~ALL FOR REINSPECTION BEFORE COVERING
Inspector: B>" (p cr;. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY!
INSNOTJ
(Please tvDe or Drint and sim at bottom)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
l. While
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO'O?-QSnI
ADDRESS 3561 FOx TNL TI?AIL
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
K<2/...LX ~
(Address)
TYPE OF WORK
o Misc.
S TOFEK
D New Construction
~ower Level Finish
Z. /2.nf ,
NoLU.
(Phone)
(Phone)
(Phone)
oDeck
oPorch
ORe-Roofing
Date Rec'd
~. 2- 0 . 0;3
ZONING (office use)
e-z-
PID z,f" - 385 -o~4-- 0
9S.:;- 11'0'-0&5/
ORe-Siding
o Fireplace DAddition DAlteration DUtility Connection
PROJECTCOSTIVALUE (excluding land) $ P G. (J(JO,.,t70
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 -;;-U,-/~,~A. fHq-O~
! Signa~re Contractor's License No. Date
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
z, () ~ 0 . 00
$ & 2 . 2-~
$
$ /,00
$
$ -Hl.Ut)
$
$
$
This Application Becomes Your Building Permit When Approved
QA-. f A ~~~ 5/').0 !t:J'!>
Building Official Date
Park Support Fee
SAC
I Water Meter Size 5/8"; 1 ";
I Pressure Reducer
City SAC and WAC
Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid / /)f. Z'5
I Date s-: dO_ 0 J
#
#
#
#
$
$
$
$
$
$
$
$
$ //J.3.ZS
^
I Recei~o.
By 'Y.
?I
-f'-rz 7 I
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
14 hour notice for all inspections (952) 447-9850, fax (952) 447-4145
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 35tJ1 rox 771'1 L 77V1/f.--- N I/\...
NATURE OF WORK _t-O Wt::e ~tSt/6t--
USE OF BUILDING /?f- S ,.q / IC-
PERMIT NO. 03 - O.sqq 'DATE ISSUED .5. 2. 0, O-.:.s
CONTRACTOR . vnP6K- PHONE 44-0 - t;.f?5/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
,.... ~ I
I ) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
il-- 11 U_ij'iR J ~
FRAMING P~)
INSULATION I ~,~
ELECTRICAL I
PLUMBING (
HEATING (if required) <<J:J
~ ~.,., -~(.o."q ~ & j /;t ~
"'Qft" - ,- :JFUI8if _ A/V'\' ~~ ~ u / uj LY'J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I
1/1" _OllIIA' -
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
11. ... If}'
<))J' ,0'7
Vl/VI
M/
I!\!"f
OCCUpy UNTIL ABOVE HAS BEEN
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.
~./~-C17
<?S- /C tI7
SIGNED
FOR ALL INSPECTIONS (952' 447-9850