HomeMy WebLinkAboutBuilding Permit 03-0851
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
If. ~ tf
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION.I).
?",INAL IX4c.
o SITE INSPECTION
COMMENTS:
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SCHEDULED
(J) tlYILJ,,~ ~ ,
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.----
,l Use
DATE TillE
r-::z. "Z
.-z~ ~c:-r
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: M 1- f-- }if':>ownerIContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/NSNO"
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
{g.2C-.03
I. White File
2 Pink City
3. Yellow Applicant
I PERMIT NO. 03 - 0 85 I
(Please .!,vPe or print and sign at bottom)
I ADDRESS
/ (, Z {p 9 P /f1C-K- V / [:V'I f)/l..-.
ZONING (office use)
puo
LEGAL DESCRIPTION (office use only)
LOT~ BLOCK I ADDITION f!./PZ-f/IN/~ /?Af)~ ?10
OWNER
(Name)
k ~ v./,;'/'I
.tt::5
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
I,....."r;:
~
TYPE OF WORK
o Misc.
PID2S -31(0 - 002- - {)
':?
;.L../Lu.4
.-r/t
(Phone)
9,2 -~~<J -9/K /
C/lA"J~ k...
FU/fl -tel
~~"<.I~-,~(Phone) --k..,n -.132- 929/(
(Phone)
--
o New Construction
)I1Peck
o Fireplace
DAddition
DAlteration
DUtility Connection
ORe-Roofing
DRe.Siding
DPorch
DLower Level Finish
PROJECT COST IV ALUE (excluding land) $
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
\ Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Vf; SOt:). 00
SL/, eJO
8S,/0
,75'
::2olb9'18~ 6hJ!o3
Contractor's License No. Date ,
Park Support Fee # $
SAC # $
j Water Meter Size 5/8"; 1 "; $
I Pressure Reducer $
I City SAC and WAC # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $
TOTAL DUE $ 8Cf,8s
(i/ii-f)~ " . .F"',/\ I
I Paid Receipt No. ()If 8rtv
I Date I - ~jr>-o~-') By cr .J
"-
This Application Becomes Your Building Permit When Approved
~;. '7~~
Building Official
(p1,7, {" It, :3
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 bour 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 /~Zh 9 ,t:J/JJt~v f6W De....
TYPE OF WORK OE'C-IC
USE OF BUILDING ~ ,q/IZ-
PERMIT NO. OJ -065'( , DATE ISSUED to. 2 ro. 03
BUILDER JdoV/V,IL} PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I IIJ!(/ I 7-~-0)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING I 1M I 7 -).1-. (f'> l
. I FINAL
vvv/
1. 'j.:!,.r5'J
FOR ALL INSPECTIONS (952) 447-9850