HomeMy WebLinkAboutBuilding Permit 03-0323
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
OWNER
SCHEDULED cf -/3 -<f/
-It)3~ ~
CONTR.
PHONE NO.
PERMIT NO.
0'"] -0323
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
55 FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
nY 1-... rCo......, ~ A
;h WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: (Jffl Owner/Contr:
CALL it'.98 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE tQCJ. MENTS ARE FOR YOUR PERSONAL HEllLTH '" SAFETY!
INSNDn
(Please type or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
3-;{o2
I PERMIT NO'OJ-03'2=3 I
I. White File
2 Pink City
3. Yellow Applicant
/53oLj Jd+er5 pas}
,
LEGAL DESCRIPTION (office use only)
LOTt~LOCK 4 ADDITION t:{eqa/ (?yes+
ZONING (office use)
tel
PID ~5- 3ic'- 6t.-.5-D
OWNER
(Name)
/1/ $0i,- J1tt!I1-;1/&<-/
/5 30 c/ V 0;::-4,1 Ie /)...- .,- s / I
c, L '---> It",q~~~ /v tl/
(Phone) 0J;:J- '7'-Yo-:/'..\..-7LJ-
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
~ower Level Finish
(Phone)
(Phone)
DDeck
DPorch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
o Fireplace
OAddition
DAlteration
ORe-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 age t 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 budding offiCial can revoke thiS permlt for Just cause Furthermore, I hereby agree that the CIty officral o~a des ee may
enter upon the r to perform n mspe ons I /
X ../--e. _ _ .9jd-V ~
-- - , SIgnature Contractor's Llcense No Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
\ Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
\ Gas Fireplace Permit Fee
$
$
$
$
$
$
$
1$
,L,())O @
(9)... ,).~
I '!S!
----
~ b.' ...'"
.
L/o .66
'1f(1liC~S Yom Building P=;_:7_;;roved
BuildIng Official Date
$
$
$
$
$
$
$
$ /-00
_$ lOt./: 25
ReceiUo, .f/'.5'i& /
By't..-
O
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 /;/ F' f _ PeYl'h ir
1 TOTAL DUE
#
#
#
#
Paid
Date
/c) -9-. Zh-
~. 2,'" .(J7
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
;::;di!i1he 71J;;:,tiWtes. "mpo'~ Cemfic." o]~~;:;;ce and .llows fi:ctJn to ;:nce ;:::cu/::. ('m;:~:;:-U"be
P',.mning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prinr Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~30"" _.1'~..l O'$S
NATURE OF WORK t.L. ~..-U '" .
USE OF BUILDING S. F. A.
PERMIT NO. 03 -O?7..3 DATE ISSUED :I . ~ I-(),
CONTRACTOR --O"'''~.... PHONE-.!!r.J.. ~"r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I. I i
I (Prior to Backfill) I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
11 . - -lk
FRAMING
INSULATION
ELECTRICAL
:>~
t.{ !o../ej
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~
Ir/.? J
"9
qp1Jj$
15-~
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~rior to Sodding)
BUILDING
ELECTRICAL
HEATING
DO NOT OCCUpy
fb,
. I
I
I ~
UNTIL ABOVE HAS
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.
fB -.1<
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850