HomeMy WebLinkAboutBuilding Permit 03-0811
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDl!LED
(;.U-03
ADDRESS
/~3.lf':> ~~7 ~..-r f-d
CONTR.
OWNER
PHDNE NO.
PERMIT NO.
y 8-1/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
rc - rooF
bA H-i<
( ()K
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: rvr G- U -f5] Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
INSNOT>
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
(;/9.03
(Please tvne or mint and sim at bottom)
ADDRESS
153F3 Ei-fEz'l POINT t2-~.
1. White
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO. ()J - De / /
ZONING (office u,,)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNERN ~ . f
(Name) IEL fVlftNN
(Address) 153g:~ Z POI f\1J
PID Z" - ()2/p - () 02 --z-..
(Phone) q 5J. - 410 - [PJ4-1
BUILD~ I jl (] u q
(Namel-tOp INf fjlf\JSTf!.VUlON iWD I'QJF/I\lG (Phone) 5J,-g~/-OCff)
(Contact Name) ~E {\~ Il.LE:fL (Phone) &/).- 3'J.g- FSlP ,
(Address) '),00 W . Cj 9 T11 S T I Su I T'E' IS[) I 6LOO fV11 N GTD N I M tV $f-a{)
TYPE OF WORK
oDeck
e-Roofing
D New Construction
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
900-
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
enter u on the prop to perform needed inspections.
..JMisc.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Official
Date
DPorch
ORe-Siding
oAddition
DAlteration
Dutility Connection
dO~1 ~4<t3
& 110/63
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
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 uotice for all inspectious (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372