HomeMy WebLinkAboutBuilding Permit 03-0728
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
SCHEDULED
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ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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lJ FOOTING
lJ FOUNDATION
lJ FRAMING
lJ INSULATIO~
INAL <-<it
~ITE INSPE TION
lJ PLUMBING RI
lJ MECH Rl
lJ WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
lJ EXIGRAD/FILLlNG
lJ COMPLAINT
lJ FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
lJ
COMMENTS:
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/WORK SATISFACTORY, PROCEED
lJ CORRECT ACTION AND PROCEED
o CORRECT "'ifpL FOR REINSPECTION BEFORE COVERING
Inspector: ftr q-Ilf~er/contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~ . (p .03
(Please type or print and siJm at bottom)
I ADDRESS
/'7253
i?/l,CJHr-/~
LEGAL DESCRIPTION (office use only)
I. White File I PERMIT NO
2 Pi"' Ci<y ./'\'7 __;.r7?~
3. Yellow Applicant ~ V'~
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O~G'LL/
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LOT Z BLOCK z.. ADDITION
OWNER
(Name)
LI! {){)N AI,4
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
(Phone)
(Phone)
(Phone)
o New Construction
~DeCk
o Fireplace
DAddition
DAlteration
DLower Level Finish
OPorch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
This Application Becomes Y ourBuilding Permit When Approved
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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
sUbm~'tted pI ~. I aware that the bUild~'ng cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a d. esignee may
enter u o. pro e to performwd i ecti ns. ., . .
X t7J1-nA.. as. ~ '2?04a~~ /,;- ? - cd
-- - Signature - 1/ Contractor's License No. Date
"/.:MtJ, dd
$ ~'f, rs
$ ;X;, IS
$ , {,O
$
$
$
$
$
Building Official
~/,",.03
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 tJ.tu.W t...l, .DI
I Paid f!7 - }.:i,w
I Date l f.,- f.o~V'-C
ZONING (office use)
~'Z-
PID "Z5'- S80 -CJ2-0- D
9' 5.;? - .</Y7 -5-:::) <P .).
DRe.Siding
OUtility Connection
#
$
$
$
$
$
$
$
$
$
7~(Po
#
#
#
I Receipt N.o.l.IL1 :;:>1.';
Bv U n/ .
o
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 consnuction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, ifany
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 /7253 /'1l9dH R6Z-D /Aj1/6 sC
~PEOFWORK L)~~
USE OF BUILDING /265' -1/~
PERMIT NO. 0.3-{) 7Z0 DATE ISSUED ro. (p. 63
BUILDER p/J 0 U6~1 I 0 PHONE # ~ 7- 5582-
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
vV)'
j
I
g-- I~ ~(/':; J
, FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850