HomeMy WebLinkAboutBuilding Permit 03-0315
----
/
/ / f '<---rf,,/
IflV:.--' ,-
( ( /l '-'
"-
'--
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
<::1, 0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o I!lSULATION 0 /,
,P'1'INAL C ~'l
o SITE INSPECTION
COMMENTS:
SCHEDULED
~liCl"'"
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
------
DATE nile
Is-~ J-S-
5:7
?- :J rS--
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-~
')
"
,..- ~
.../'
~
~ATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. --0L.~ ;'(-~erIContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOTI
(!'Iease ~ or vrint and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
33&0
Date Rec'd
3-/8'-03
I. White File I PERMIT NO 5
2 ';ok c;'y ./...., -031
3. Yellow Applicant IJ?
Balsam Sf-
LEGAL DESCRIPTION (office use only)
LOT II BLOCK ,;z ADDITION
~~~R LLvr'jJ:\'^50A.
(Address)
BillLDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
DLower Level Finish
S IAlUsef- IJ // Ie,
/{Deck
o Fireplace
ZONING (office use)
R/
PID dS- /rJrJ-()/'}- -()
(.
l~ 9~ 'J. - '-I'iC' . 3,;uC
(Phone)
(Phone)
DPorch
DAddition
ORe-Roofing
DAlteration
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
DUtility Connection
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 pia 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
ent.er n on roperty ~.to per needed inspections.
x.// .?t.-t~/'e- 1/ 3/../1.9f./; iJi,..J
./' ;F 1 7!\\icenseNO: ~ - "
Park Support Fee
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
$
$
$
$
$
$
$
$
,,(,aJO OJJ- I
(?4 ()S"I
4s-.o1 .1
( .00
Thi'Jrprationies Your Building Permit When Approved
I/~ f/~ ]-jO-O).
Buildin! Official
Date
liS. :U,
Receipt No. liiAuif I
Bv r~/
0-
#
SAC
#
$
$
$
$
$
$
$
$
$
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. (2eCl,} -rh Oed. J-to.lAdou!-'
Planning Director
Water Meter
Size 5/8"j I "j
\ Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid <:7>' ,f /6- ( ;.;k.
I Date - :5 - ;:u:; - i'j ~~
#
#
Date Special Conditions, if any
24 hour notice for all inspections (9S2) 447-98S0, fax (9S2) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
..,
PRIOR LAKE
INSPECTION
DEPARTMENT OF
BUILDING AND INSPECTION
1
RECORD
SITE ADDRESS -3cl~f a.1 s .... s r
TYPE OF WORK
USE OF BUILDING ~.
PERMIT NO. (JJ - OJ/~ DATE ISSUED :s · ~ IJ. t'J,
BUILDER -.O"'~~ PHONE #~. 'M.JUo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I rJIY0 I , r:-. 7 - {).3 J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1'-- I I J
, FINAL [/1/)0 '6 - A~ - 0;, 1
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
"