HomeMy WebLinkAboutBuilding Permit 03-0958
I!
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
1J~jt8
lAJ.QfY\. ~)J-r ~L
.' . ..
SCHEDULED
ADDRESS
1(J{~t/
CONTR.
03 -(l~~
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~INSULAT~N
FINAL . u:-'<-
o SITE INSP cTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADtFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
-
(~~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
InspectOr: ~
. Qwner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY!
INS/'IOTI
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(Please .!VP~ or print and siJro at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
7 ZI.()J'
; ~i~:' ~::y !PERMIT NO. 013 ~09S/)..
3. Yellow Applicant I - U
/.54-34-- /1/000 tJ{/ e4"--- 77U-
ZONING (office use)
el
LEGAL DESCRIPTION (office use only)
LOT5/aLOCK 3 ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
WIL--OS
H()u~....(' 'Or, 5('-/ VI( t s-
ha-Ildy LAAtt
J ,5,171 'fp6'-<.(} c;~c/t.
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
.J'oUTfl
PID2,5: 382./05. 0
(Phone)
Uc
(4)/Z) 7Lf3- '6/t., 2.
"'.i> r i GI /" Lo..JIC
(Phone)
(Phone)
~SS37';(
/
~eck
o Fireplace
"--
OPorch
o/-e-ROOfing
OAlteration
ORe-Siding
OAddition
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
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 Y'~Y_UJ 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 buildmg offioal can revoke thiS permit for Just cause Furthermore, I hereby agree that the City offiCial or a designee may
~terupon theY--~7~ns :10:1,9, n 79 7/Z2/0 '5
~Ipiature Contractor's License No Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
2O<!)O . () <:> I
~,cL 2..5 I
Ll'S. lJ / I
I.eo
This Application Becomes Your Building Permit When Approved
~ ~ 7/-Ja-h3
Building Official Date
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; 1"; $
I Pressure Reducer $
I City SAC and WAC # $
I Water Tower Fee # - $
I Builder's Deposit $
'-
lather -......... $ ,
I TOTAL DUE ~ '1. z,z,. 0_"'> $ //5.Z-h
I Paid I/Fj / cH--, I Receipt No. tj'.... J
I Date '7-a--'3-6 By UL/!(hU
,
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 nntice for all inspectinns (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.,
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /S4. '"?4- WOOD DU(!):::.. 77e<-
TYPE OF WORK f)E/.-/c:..
USE OF BUILDING PES /1/~
PERMIT NO. 0 s -()958 ; DATE ISSUED /. Z/. 0,3
BUILDER H()UC;6 0/2-. PHONE# (,12.743. <(3702-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-
\
r; jIflPECTOR
, FOOTING l ffO I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
...:J, FRAMING I I
C ~ ~ ~I+o2.DS ~ f'rppLle7J.
. 'FINAL I ~
DATE
q/ tCl<v~
j
j
I
FOR ALL INSPECTIONS (952) 447-9850
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