HomeMy WebLinkAboutBuilding Permit 03-0427
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ji / Li?.:C-;
ADDRESS I {]C[ 0 Ot'__c fJ.../r1
OWNER CONTR.
PHONE NO. PERMIT NO. ""$ -<-(j 7
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION [k<-IL o SEWER HOOKUP o FIREPLACE FINAL
J7FfNAL o PLUMBING FINAL o GASlINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
~K SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: _ ~ g-. ).'1--6. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
-.--.--. '--.....---
(Please ~e or mint and sign at bottom)
ADDRESS
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
], White
2. Pink
), Yellow
Fill'
City
Applicant
I PERMIT NO. ,::j-L/;;?'7 I
/1J~t:/O
De0rF;'e leL by-
LEGAL DESCRIPTION (office use only)
LOT3~LOCK I ADDITIONI.Y..2~ li2cfJ
g,~e~R!LL G-'~&25MHk
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
~Deck
o Fireplace
,::J ftld
(Phone)
(Phone)
(Phone)
OPorch
ORe-Roofing
DAlteration
ZONING (offi" U'"l
/QI
PID ;? s: 37~-d 3Y-t,?
'l~d- - J../L/7- S-033
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
submitte am a e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
e upon the pr to perfo needed inspections.) , I /
~_.---'v/ Jf/II/13
Signature rl Contractor's License No. Date
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 & W ater Pe~i~ Fee
j Gas Firepl Pe ee
/
Building ViliEial
~
DLower Level Finish
PROJECT COST IV ALUE (excluding land) S
DAddition
$
$
$
$
$
$
$
$
1300,
L-/~ 80
/~I, 13
, 6~
I Park Support Fee
I SAC
I Water Meter SizeS/S"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
.1'-1, {plf
(/-'//-1'7 "
#
#
#
#
$
$
$
$
$
$
$
$
$ 7Cj, (,$
. -?
Receipt No. '-{ ,-/V fa-.J
CC~
Bv
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 t_u.yuo'-Jo Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
l-{
B~k~ved
"Jl!d
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
INSPEC liON
RECORD
SITE ADDRESS /7'3/10 Derr{jc/ J Dr
TYPE OF WORK nec.k'
USE OF BUILDING SF t+-
PERMIT NO. 03-J.{ d.-'7 DATE ISSUED l(- /1- -3 .
BUILDER .Pa..u) Pef~s--"5 J"He \-/152- V PHONE # t./if'J- 5033
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARtMENT OF
BlJlLDING AND INSPECTION
INSPECTOR DATE
, FOOTING I VJ;{J I t..j~ IL'i-tf'>
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1__.._ I I
, FINAL
\^ Nf q' J..f1--0
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850