HomeMy WebLinkAboutBuilding Permit 03-0884
CITY OF PRIOR LAKE
INSPEC1IOHNOTICE
SCHEDULED
ADDRESS
?If'-r']
~t?,.vc.C" 1rl
OWNER
CONTR
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
0, INSULATION 1'\.._ 1/
Jijr'FINAL ~...
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DArE TIME
~J.!
?,-'?Jty
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC.:"WO~ALL FOR REINSPECTION BEFORE COVERING
Inspector: r L1 / 2:' - J, \ -rf) Owner/Contr:
CALL 447-985Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
lI'tSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
12.03
(Please type or orint and sie;:n at bottom)
ADDRESS
I. White File I PERMIT NO I
2, PI,k eil, '()'? _ o[3aA ~
3. Yellow Applicant ..J ~
344 s S/'eL/M;
~/ L- SW
ZONING (office use)
~(
LEGAL DESCRIPTION (office use only)
LOT cf BLOCK c:;- ADDITION
su/V'.s 6/ /r/L-0<.J"
PID e..r- /7C-. .07l.. 0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) rU- Iv, '" t-.- "'-c ,.~ I
(Contact Name) IY1 ic. },,2...1
(o,,~~..~..-\
Nc Iso V\
(Phone)
(Phone)
c.\ ,_-") ,,- \..."',
t
(Address)
1~2"1'" Q"k"f::> Tr.
E.
Pr,'orL",\c.."
t"'hU
~~-'l
DLower Level Finish
)6eek
o Fireplace
DPorch
ORe-Roofing
ORe-Siding
DUtility Connection
TYPE OF WORK
o New Construction
DAddition
DAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 loca11aws 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 upon the property to perform needed inspections.
X ~ /, /A. 71..d.- ,h/o?,
,r
Signature
Contractor's License No.
Date
I Permit Valuation I /400. - I Park Support Fee # $
I Permit Fee I $ 50."10;- I SAC # $
I Plan Check Fee I $ ?3.ff I Water Meter Size 5/8"; I"; $
I State Surcharge I $ . "'70 I Pressure Reducer $
I Penalty I $ I City SAC and WAC # $
I Plumbing Permit Fee I $ I Water Tower Fee # $
I Mechanical Permit Fee I $ I Builder's Deposit $
I Sewer & Water Permit Fee I $ I Other $
! Gas Fireplace Permiy<'ee I $ I TOTAL DUE $ B4.7~
~ ) I'll.. / I w1R~ t.I ,; ii/O
This p' , . om~ur Building P;11;roved Paid I RecejptNo.
Date '"7/7 u.:> Bv ry./
BuildirigO ........... ' u..te
------.-
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 (9S2) 447.9850, fax (9Sl) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
..
PRIOR LAKE DEPARTMENT OF
, BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ~54-4<: ,".P/U/~ ~/L sh/
TYPE OF WORK 06C1::::..
USE OF BUILDING /?6S /l//C.
PERMIT NO. {)3-o884- ~ DATE ISSUED 'I. 2.0.3 .
BUILDER A/El...c;O/J ~EJVBlZ/Il- ~CJ.e.f PHONE # &IZ-.Z:O: Is97
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. I FOOTING r VVV I 7 -IS -OJ> I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
...... I VW1 I i-YJ-'Y'-; 1
. , FINAL /I vf ~> )-147 I
FOR ALL INSPECTIONS (952) 447-9850
INSPECTOR
DATE