HomeMy WebLinkAboutBuilding Permit 03-0796
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
3~1J
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TlOtj
~FINAL Da:.~
o SITE INSPECTION
COMMENTS:
DATE TillE
SCHEDULED 7-:J:t-03
~ ~t"-
AT
CONTR.
PERMIT NO.
.J - "FIr"
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADtFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ORKSATISF4~TnAV PAnrEED
\ "-t!CORRECT ACTION AND PROCE~
o CORRElh' K, CA~ REINSPECTION BEFORE COVERING
Inspector: I Owner/Contr:
CALL -9SJ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE.iUREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY/
'''''"'''
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvEe or print and siJro at bottom)
ADDRESS
33.50
W / L.LJ
/-to /<:....{" t/
LEGAL DESCRIPTION (office use only)
Date Rec'd
b. / 7.tJ3
; ":;~:' ~::, I PERMIT NO. /\? -()7 /7(p
J. Yellow Applicant V"':> 7
~/ ;e.
I/W
LOT ~ BLOCK 4- ADDITION
jv/{....OS ~
PID Z5 - 375' - t1?h -L
OWNER
(Name) WI! ~ b
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
J_ .IAJ
ZONING (office use)
,e/
(Phone) 9.5.;?- Q'/7-0 '1.2'1
('.dl 95~_t??7CJ- TrCJ'-I
+ Em/17~ r tV
o New Construction
DLower Level Finish
(Phone)
(Phone)
~Ck
b Fireplace
DPorch
ORe-Roofing
DAddition
OAlteration
DRe.Siding
DUtility 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
;terupo~o_p:tn~nspections (p _ 1'1-tJ3
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
1 Mechanical Permit Fee
I Sewer & Water Permit Fee
\ Gas Fireplace Permit Fee
PROJECT COST IV ALliE (excluding land) $
.i
F"':5Od tJ, tl t:)
$ fJ?,Z5
$ S'1. II
$ /, So
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
'EA?r..c.e' 7~ t./;7hY
Building Official
, Date .
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ~
J, ,_ ~ '" I
:II' I.?)( 16"0
(r [a".;.s
$
$
$
$
$
$
$
$
(,. /~.03 $ 1::l!"J, B~
I Receipt No. '-lit ;;;1
By ~/
r;
#
#
#
#
Paid
Date
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
..
PRIOR LAKE DEPARTMENT OF
. . BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ~5' ",11.-0 H()Il~I!,_
TYPE OF WORK .DE.CI<. .
USE OF BUILDING ~ ~/~
PERMIT NO. ~... ()7e;~ · DATE ISSUED -" ./7. ~.
BUILDER TAl' . - . PHONE # """~4-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR A DATE
, FOOTING I 1/14 II: /j, ?-fA
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
.... I I
I
J
l
, FINAL
" .
UI)
v
7 - Z. '1 . CJ(;
FOR ALL INSPECTIONS (952) 447-9850
"