HomeMy WebLinkAboutBuilding Permit 03-0834
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
17(YiL
SCHEDULED "-<I~
l1/7 M-vll1rSS p... (
OWNER
CONTR,
PERMIT NO.
:I - 8;-:J C.(
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION y\ e..../C.
..If FINAL 1-/
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
J (q
S:I It
CrY: ""
CI/1.-.
"
c/
~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, LL FOR REINSPECTION BEFORE COVERING
Inspector: - 4. -0;' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY!
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----.,-.-'-...-~---.--------.--------,---,----,.~------"T~'---'-r---'--~---'-----'-,,-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Please
e or rint and si
at bottom
ADDRESS
/;ltl tJ~
LEGAL DESCRIPTION (office use only)
LOT ~LOCK S- ADDITION
OWNER
(Name)
S ( at-f
rou/fe/~
(Address)
Date Rec'd
1_ White
2 Pink
J Yellow
I PERMIT NO. ()3- &'37'f
File
City
Applicant
--
!~
ZONING (office use)
I?$.D
o New Construction
o Misc.
DLower Level Finish
PROJECTCOST/VALUE (excluding land) $
PID
7()-(J'I '
(Phone)
~)J-tf'l7- fOO'y
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ORe-Siding
OPorch
OAddition
ORe-Roofing
DAIteration
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 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
;rerup~ons 6-J3-o)
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1 "; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ I<..$,BG
't~~
/ - ~:?
I ':t" "f'!-d-I
Paid
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
RECORD
SITE ADDRESS J'JO'A W~ ~
TYPE OF WORK ,D~C-/<
USE OF BUILDING 6 F
PERMIT NO. O~~ DATE ISSUED "-~l-~
BUILDER 6"1) tiJ Ie"... PHONE #L/q'1-IOI)~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSP~ DATE
I FOOTING I I () I Z~ /1.fr/7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
- I I
FINAL
0]
Call between 8:00 and 9:00 A.M. fo all inspections
FOR ALL INSPECTIONS (952) 447-9850