HomeMy WebLinkAboutBuilding Permit 03-0750
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
{,zeo i/lrk....in
OWNER
CONTR.
PHONE NO.
~OOTING
o FOUNDATION
o FRAMING
o INSULATION 0 I
<<I' FINAL (c, I
o SITE INSPECTION
PERMIT NO.
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
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o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o W03K SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: V g- -~-V'7 . Owner/Contr:
CALL 447-9650 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <f SAFETY/
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please tvP~ or Print and sign at bottom)
ADDRESS
I G, ~ (,0 V I c1b ~I A
; ~i~i~ ~:~ I PERMIT NO. 0-:2- -')c-o I
3. Yellow Applicant :::J /J I
CJ(Lvr;.
C;E
J I
ZONING (office use)
PaSD
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK '3 ADDITION
CA~DI/JAL ~\~ GE
r11J
PID;)S-~~-Od7-~
~
OWNER
(Name)
/VIA-ILl
J (~ ~c, D
~ /.MR.-I
( (/.f}/~lJEL
C--.J f{./(; <; ~
(Phone) _ qS J- I/<-/o - '5:l99
(Address)
\/1 U'TO/.-t A
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~Ck
DPorch
ORe-Roofing
ORe-Siding
DUtility Connection
DLower Level Finish
o Fireplace
DAddition
DAlteration
o Misc.
PROJECTCOST/VALUE (exc1udingland) S
l'dDO,DO
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. ~: ~re ~~~ building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:te/J)tz:t perf?J!7ctions
Signature Contractor's License No. Date
I Permit Valuation d-oOO. ---- I I Park Support Fee # I $
I Permit Fee $ ro9. ~S'I I SAC # I $
I Plan Check Fee $ 45.011 I Water Meter Size 5/8"; 1 "; I $
I State Surcharge $ 1.001 I Pressure Reducer I $
I Penalty $ I Sewer/Water Connection Fee # I $
I Plumbing Permit Fee $ I Water Tower Fee # 1$
I Mechanical Permit Fee $ I I Builder's Deposit 1$
Sewer & Water Permit Fee I $ I I Other I $
Gas Fireplace Permit Fee I $ I I TOTALDUEfJtuU ~.t..OJ I $ 115>d-:h
I
mil ~ "
This P. . c~Yo:;r BUilding~=;:;~pproved I Paid //..5.7/(/ I ReceiPk'No. 4"'# J-O
I Date 1..7.1(.(1'7 I Bv -1-
(j
Building Offi'Oal bate
lis 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
len 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
'led.
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 ~~f~~D~~SPECT10N
INSPECTION
RECORD
SITE ADDRESS ~ 3t.~-kJrJ a- (t t.(...)'"V~
TYPE OF WORK Of!..~~
USE OF BUILDING 51'
PERMIT NO. tL3. _ 7S0 . DATE ISSUED it> - /1- .3. .
. BUILDER pi,. r /(. ScJt i -e "e./ . PHONE....,I/ 0" 3~";l..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
LFOOTlNG t~ I L I //<>.. I 7/1 !~3 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
. f-ilJII1l8 I - J. I
I FINAL I 1 r f$"'~'1!'J
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
INSPECTOR
DATE