HomeMy WebLinkAboutBuilding Permit 03-0971
CITY OF PRIOR LAKE
INSPECTION NonCE
DATE TIME
ADDRESS -.S3 41
SCHEDULED ~
G I~r~ t.~~
C NTR.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
PERMIT NO.
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
!U2 '2iWr+r~ ~ ~
~;<
03-07tl
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-
-
~~#l
\t WORK SATISFACTORY, PROCEED
1c;1oRRECT ACTION AND PROCEED
o CORRE JRK, CALL FOR REINSPECT/ON BEFORE COVERING
Owner/Contr:
8 0 FOR THE NEXT INSPECTION 24 HOURS IN AOV"''''CE..
1REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
""""n
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
1, 1(,.0]'
1. White
2 Pink
J, Yellow
File
City
Applicant
I PERMIT NO. 03 -0 '1'11
(Please tvtH: or print and siJm at bottom)
ADDRESS 334--q GV/NW/1~ I 12A1L-- Nfl/'
ZONING (office use)
K.. z..sp
LEGAL DESCRIPTION (office use only)
LOT 4-BLOCK 4-ADDITION Gt-I./AlW,q7CJ(:.... Z~O
PID zS'. 3c"S: 03(,. 0
OWNER B' \ \ d
(Name) '. q
(Address) 33'-1 '\
:::J' a..."",
~.-<:.,\r;
.J .
(Phone)
d-aCo-~t1
G
BUILDER -. ~I ()
(Name) '--'lftvo>. K-.
(Contact Name)
(Address) L..l d-.q)'
CP\.<c;... ~uc-
C. 0'"'-'>.1-
(Phone)
(Phone)
cOcJ,- qqO~7/~
G ('0...,,,- ....... <Dc>rO
~J'
TYPE OF WORK
o New Construction
DDeck ~11 ORe-Roofing
ON pffJ'ld 'W~ OeCK-
o Fireplace DAddition DAlteration
ORe-Siding
DLower Level Finish
Dutility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) S
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
;te~p~:J[, ?r~;;:::ons L{~ ~ ( I - / (;,- 0 s
T - -. Signature Contractor's License No. Date
I Permit Valuation ~OO. 00 Park Support Fee # $
I Permit Fee $ 4"q . ZS SAC # $
I Plan Check Fee $ tf<:;. t) I Water Meter Size 5/8"; I"; $
I State Surcharge $ I ,D tJ I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ I Water Tower Fee # $
Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ I Other $
Gas Fireplace Permit Fee $ I TOTAL DUE $ I I'S. 2..(.,
, J?::Be~uildingpennit;~A:oved
Building Official --zP Date
I Paid
I Date
l/ r:;, "U.
7/..:J 3'lo~
ReceiotNo. 4'>u~.f f'l
By "~ 9..-.....Y1--'
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
~::::~~P;2;O:SE'7o'~certifi~n;~;","d'llows/!:~comm':;~B,zrup,"q, ~o~
Planning Director Date -Special CtAtditions, 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
INSPECTION
RECORD
SITE ADDRESS .3~lVU ~I~L.. T2A,i.. tJ.&J.
TYPE OF WORK -.2Nc. D D 'DECa'. A/1E"
USE OF BUILDING s.~ A.. .
PERMIT NO. (/.5 - CJ97 I DATE ISSUED J}2..z..loS
BUILDER ~tuJ Cl-SANO{. PHONE#~O-~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FINAL
..
I ~W I 7-2-~
r 1--
Call between 8:00 and 9:00 A.M. for alllnspect10tiS
FOR ALL INSPECTIONS (952) 447-9850
I
J
j
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING I . I
(
~~
~jte - BUj~
';anary - Engineering
Pink - Planning
Th~ ('rnlrr of the L.1ir ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
CAS: A NOVA (!.,ON ~T1::- -
7_ /0.03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,134-9 GLYN WIT I cR 71ZffI ( ~
t/
Accepted
Accepted With Corrections
Denied
....
Reviewed By:
r---
0~'d
;/:, jJ~
Date:
7PJ'j63
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
~~1
White - Building
Canarv - Enaineering
C::::::;-Pink - Plan~
Thr('f'olf'rof fhr l.akr('ountr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r.~/-t~--:/-I Il/0' 1.//-1
-7 / (C . G3
(~(i/v ~TI:-/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~;.~/ c';-9 GL Y/\/ / vrl/[;7c 7)~)// (
Accepted With Corrections 1/"
-
Accepted
Denied
r-
.p., -r:-",
I
~~
flo
,..,-,~. r 11---.0
J /~
.AA .
Date:
7/d- S' /"'3
01 /Vh~/
o /
~~ 0.) r/
U
Reviewed By:
Comments:
~
I~
.............L
.:J
~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"