HomeMy WebLinkAboutBuilding Permit 03-0044
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
If )..~ fhvrAc.f d 0-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
B'FINAL i?-UIY,0 0 PLUMBING FINAL
o SITE INSPECTION (;1) 0 MECH FINAL
COMMENTS: (f
- !
/ I [l)(
L--
DATE TIME
..f".-r L
'1-Ht-I
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
".-
r(LC
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: t/iIlP S"- Ii . CI"', Owner/Contr:
CALI... "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
""'<<m
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I'
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
'1 ~5-0'L
I. While
2. Pink
J. Yellow
File
City
Applicant
I PERMIT NO. 03 -{)O44- I
(Please'!vpe or print and sign at bottom)
ADDRESS
11 ~s-~ DeeR 1=/ ELl! DR.s~
ZONING (office use)
/:,-/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25~.372..-- OOB-(j
OWNER
(Name) /E..#CRc tVc..z <:) I \.tEl S,
(Phone) Or.:;;;).. ~ lID-) ~ If 7
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
.:s~ L F
(Phone) _ q)""J, -1,No ~7Y'I7
~
(Phone) 'c, '1S2. -23llo(e,u
v
TYPE OF WORK
o New Construction
~
DPorch
ORe-Roofing
DRe-Sidiog
DLower Level Finish
o Fireplace
DAddition
DAlteration
DUtility Connection
DMisc.
PROJECTCOST/YALUE (exc1udingland) $
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.....J 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
:ter~~rmfr~ ~S-: d-o:>d-
siM~1ttre Contractor's License No. Date
Permit Valuation 4/:300.00 I Park Support Fee # $
Permit Fee $ 4'7/1 (J I SAC # $
I Plan Check Fee $ 3/./3 I Water Meter Size 5/8"; 1"; $
I State Surcharge $ .("s- I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
\ Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
j Gas Fireplace Permit Fee $ I TOTAL DUE f J11,<<;;t) /--0'0) $ '71, 10 ~
/} 11
This Application Becomes Your Building Permit When Approved Paid '7'Y. r,r I Receil<tMo. ",. :?'f'te/
~.f~ l/_f/03 Date I~ /.7~'J By ~.
U
Building Official 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 t......y..,.<&.>) Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~~
Planning Director
{/ ~!; 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
II
..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS If. rtFl'~LD 1>-. $.1.
TYPE OF WORK Nf\aJ 1) CJIt.
USE OF BUILDING . s.. F. A.
PERMIT NO. li3 - ()O44- DfTE ISSUED ~
BUILDER~ ~ TWIt! PHONE#l}S2.~"f/'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING I ~ ];~CTOR I J _ /" :AT~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL
l/WI
!:; - It--ll').
I
I
j
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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