HomeMy WebLinkAboutBuilding Permit 03-1165
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
1- n--t:/J
/7/0(;
ADDRESS
lA/ll;'&-~ 11--
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3-f(?S
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION 0 II
~INAL -cl/L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: # q- (?~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <l SAFETY!
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
e or Tint and si
ADDRESS
iilbLP
at bottom
WI \ tJ..~ V I'\f.S
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
ILu .....+-
~ ( I--] Vl-(~ 'vv I Vlcl
Date Rec'd
1.3.05
I. White
2. Pink
). Yellow
1 PERMIT NO. 03-1/&51
File
City
Applicant
~
ZONING (office use)
,e/SD
PID
370,047. 0
(Phone)
QS2. - l.a.-/.; - lR4~ j
(Address)
.....
BUILDER
(Name) f1.1;yyh-( V'
12,1 \ \
C~L-hCY1
(Contact Name)
(Address)
'144 l5b
TYPE OF WORK
D New Construction
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DMisc.
(Phone)
(Phone)
q<,2. -441> - ,ISD
ORe-Siding
DAddition
DAlteration
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 lans. 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 roperty to perfo din ections. ) }
X 2 6 2. ILP It 0 q _3 _ b :s
Permit Valuation ~l XJ 0J..
Permit Fee $ JJ..~::.o
Plan Check Fee $ ,~-. ~J
State Surcharge $ SJ!
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
ames Your Building Permit When Approved
q-q-d3
Building Official
Date
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other 11.//// V 4,4,Ol $
TOTAL DUE $ 31,~7
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 allo'?J; construction .to commence. . Before occupan,CY, a Certificate of Occupancy must be
issued ~1'l:1<:!. cI,<,ck 1~l1dO<.J'" ~
rnQ,'" h"..., 10 ' ,,;r'~ YO/c' s;~1 bu/(
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
I I
-'~-----"-----
..
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
.
INSPECTION
RECORD
SITE ADDRESS /7/00 fv/t-JJ&Elv6SS /M/I.-
TYPE OF WORK LJ~,
USE OF BUILDING $GJ ff/IC-
PERMIT NO. ~ C1J - / /05 . DATE ISSUED 9. 4-. 03
BUILDER ;-;aJ/Ji7E!<:-PHONE# zZ6. ~4-7}
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FINAL
INSPECTOR DATE
I FOOTING I 1/I/'r" I t{- 8'-01-
.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
.... I I
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q. O-<.D I
FOR ALL INSPECTIONS (952) 447-9850
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