HomeMy WebLinkAboutBuilding Permit 03-1145
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ ~ 5/ (J
r ,
7,12" ~~
v
OWNER
CONTR.
PHONE NO,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o .INSULA TION
)ltlFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: ~!U u-:.t-
d
(i 0YJ1
~
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-
,
DATE TIME
9/1';&7
.
2:;70
Ch
-
OJ -II 'IS
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
?ill WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: f7:;,. -" Owner/Contr:
{
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
T".'. --'-T---
(Please ~e or print and sign. at bottom)
ADDRESS
/(,5/0
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~;V aUI &/17/
LEGAL DESCRIPTION (office use only)
Date Rec'd
8. 2;1, fl3
White File I PERMIT NO - -
P;o' c;" ,3 -II~
Yellow Applicant
/f-
f.-/ / .
ZONING (office use)
r't/O
LOT Z-BLOCK ( ADDITION
('ff.e~ / of? E:.f7717G-S
PID ZS. :s/~. MZ-. 0
OWNER
(Name)
(Address)
(Phone)
BUILDER_ c
(Name) '- )r, wv A,\ I.. "" --,u~ ,1.:::.._ <IlL
(Contact Name) S J".-,[~k: (on<Jt....,rl-,'u..., LLP
(Address) ~. Lib'l ("Jc........h....", A..........c",
TYPE OF WORK
o New Construction
'/.J Misc.
S77HU"f6{;; OLower Level Finish
tlp/, ,011-:1
PROJECTCOST/YALUE (exc1udingland) $
(Phone) CiC;ri-7r,'1- "}<;SCt
(Phone)LLlL '1~~- d'l;k ;}.<;(., .~
lJ..c...o~""'...., _mY!. ~cn I
'-'
ODeck
OPorch
ORe-Roofing
DAlteration
ORe-Siding
o Fireplace
DAddition
OUtility 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 t'.~t'_HJ and that all construction will conform to all existing state and local laws and will proceed in accordance with
submi ed 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
ent u n the property to~ peffm needed inSYIYt.ons.
X _a ~ ~-d.'l-C>'l.."
Signature Contractor's License No. Date --
J
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
$
$
$
$
$
$
$
$
~tJoo.oO
.3~7 5
25./13
. STJ
This Application Becomes Your Building Permit When Approved
~ ~ 7/~7/o;1
Building Official
Date
Park Support Fee # $
SAC # $
I Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $
I TOTAL DUE $ (,,+.4..3
Paid
Date
(, ~. tl'J
()1.7At 07
/.
I ReceilltMo. 4525r
By /,fJiA-'
f/
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, (ax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
-----~-----r-----__r__--
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~:t9 --. R,;ildiiiQ)
Canary - t:ngmt:l:tlll::J
Pink - Planning
Th..C..nlunflh..I..k..l.'ountr,'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT CJ/l/'?65 /I~ .sUJ'60/~
APPLICATION RECEIVED e.2--7. 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&5/0 1~;Jt2r./IC/11V 67
--.) ,> o>f.fi&b L/;-/rr P :1-
Accepted Accepted With Corrections ~
Denied
Reviewed By:
~
f-~~
Comments:
~".,.
Date: ~/ C)-7 ;6 '3
,
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"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
..
PRIOR LAKE
.
INSPECTION
RECORD
SITE ADDRESS "SIIJ r...eA~&.(/LiTY a;r-,
TYPE OF WORK - ~ l.JIJJJ1.6F t(Alir /- /
USE OF BUILDING s:t:: A. FJ/~.
PERMIT NO. · (JJ- / /45" DATE ISSUED -f/.7AJ'
BUILDER SU SEll ill ~tA.a-/~L.L.A;ONE ~ -$-JSI1L
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
...... I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING I ISy-- I 1/"1'/&
, FINAL
rJr
I '9/cf/rP
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
"