HomeMy WebLinkAboutBuilding Permit 03-0340
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
-.........'.
l734'-l
DATE TIME
SCHEDULED ;;~~
~~ \Dv:
CONTR.
PERMIT NO.
.~ . 3L/O
o PLUMBING Rl 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
^ ~\,.( ~\I\U.Q "Ok
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S:O:O:ECT /~ FOR REINS::::::~:FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
u<sN(}T,
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
:]- Z+-~J
I. While
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO. 03- D 3' 4-t:J I
(Please ~e or print and sign at bottom)
ADDRESS
/7344- Ot;:. c/z..rlE:Z.-O
ZONING (office use)
P/C.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
/l1~ <
173#
LJ'/U/<!6 60te..oWI ~Z;
(Phone)
tJ52-. 4-4-7. ~312-
(Address)
tJ~5Z-.0
J7~ f6
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~DeCk
o Fireplace
OPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
DAddition
DAlteration
DUtility Connection
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 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 ~pon the p~ to perform needed inspec~ons.
X ~ -67.. - 3/.;2y/tJ5
Signature '-J Contractor's License No. Date
I Permit Valuation ". pi/) O. tf) () I Park Support Pee # $
I Permit Fee $ .5tJ. 'IS- I SAC # $
I Plan Check Pee $ 3~.11 I Water Meter Size 5/8"; I"; $
I State Surcharge $ , 7tJ I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ I Other $
Gas Fireplace Permit Fee $ I TOTAL DUE $ <;'tf. 7 f4
,z
This Application Becomes Your Building Permit When Approved Paid 6+.7& I ReceiplAl~o. -I--:Jf'7+-
~ ~I- .j/~L(I" :;> Date J-z..f-C)? By~'
U
Building Official 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 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
..
,
PRIOR LAKE
INSPECTION
SITE ADDRESS /11~C~.
TYPE OF WORK D~.
USE OF BUILDING ,,/A.-
PERMIT NO. Dm ISSUED 3. ZA' IJ3
BUILDER PHONE #~2.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
-
./- Hnnl8 ~"\'~V'<: ~\J. ~ fu~~ IVj~.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I- 1111 I I
INSPECTOR
DATE
I FINAL
~ ~t'J..'L-Iu>
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850