HomeMy WebLinkAboutBuilding Permit 03-0106
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I Sewer
I Gas Fireplace Permit Fee
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DATE
TIME
Date Rec' d
CITY OF PRIOR LAKE
INSPECTION NOTICE
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\.NCE
ADDRESS
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SCHEDULED
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OWNER
CONTR.
RMIT NO.
PHONE NO.
PERMIT NO.
?~ I IJG
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TION/ /
.(! FINAL c..--o C-.
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXfGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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COMMENTS:
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ORe-Siding
OUtility Connection
t. I also certify that I am the owner or
fS and will proceed in accordance with
that the city official or a designee may
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}#'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT :ro./'5' CALL FOR REINSPECTlON BEFORE COVERING
Inspector: 1LJLt" S - 'l1-rfJ;. OwnerlCon!r:
Date
$
$
$
$
$
$
$
$ I. () 0
} /70."2.S"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNVW"
I $
I TOTAL DUE
I IV. v5
I. Vif 'f)';>
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4-0. 00
I Re?feipt. - i
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This Application Becomes Your Building Permit When Approved
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bate
Paid
Date
Building Official
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
~ty p;~:::-temporary C~/~~;liance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
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
1 I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
-()3
I Whi<. FiI. I PERMIT NO.
2 Pink City
3. Yellow Applicant
(Please .!VD~ or print and sign at bottom)
ADDRESS
59tP5 ~OJJ/l/f/Ot€/l
..51.
5,6.
LEGAL DESCRIPTION (office use only)
LOT /OBLOCK :3 ADDITION ~//!/I"N_ E,.(/)f5I.E .f-1l!.
OWNER
(Name)
(Address)
,(i I. III ,,::::JZ--
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
(Phone)
flOPft/ 1/J5
(Phone)
(Phone)
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pm z.<)- 32.2.. 0/ B - 0
ORe-Siding
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 abo -me . oned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aw<y th 7jt' di.-ng 0 cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
Xenter upon the property tcyP ~ ee .~c s. .
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SJgfiature I Contractor's License No. Date
I
v
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
o New Construction
~ower Level Finish
4 /Z-M.s_
DDeck
ORe. Roofing
OPorch
o Fireplace
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $
I
$
$
$
$
$
$
$
$
4-. OtJO.O 0
f3? 2.5
Park Support Fee
-
SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I eity SAC and WAe
I Water Tower Fee
! Builder's Deposit
I Other ez-t:;~Mc..--
I TOTAL DUE
2-.00
-9"0.00
+0.00
~
This Application Becomes Your Building Permit When Approved
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bate
Paid
Date
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I' 7AP.tJ7
Building Official
#
#
#
#
, ,
I RetfeiPI - .
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$
$
$
$
$
$
$
$ I. () 0
} /70."2.S"
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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
~ty P11~:::-temporary certi;/~~;liance and allows construction to commence. Befo<f occupancy. a Certificate of Occupancy must be
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle ereek Avenue Prior Lake, MN 55372
I'
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS' .:-J'1~ rolel'l .s I .
NATURE OF 'hORK
USE OF BUILDING
PERMIT NO.' - - ,bATE ISSUED /. ZI" "3
CONTRACTOR W.:.r PHONE
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
~ L l I
, I I J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
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I
I \Nf'!.
I iV'f
UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
'h-11
'3~11
/l, ~ lJ\
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
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