HomeMy WebLinkAboutBuilding Permit 03-0357
c.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
L,-l f
ADDRESS
~ 1721.3 O..~(d V;-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- 1J.,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIO~ . I
fa FINAL IftlAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(;f)
f
/ I J.<;~
L,.../\ V" ....
K'<.
rrU?
il'-WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: -J1&.-0 - J /.-{}7Owner/contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNS/'lOTl
_._._.________,o__._~_.______________._
Z-5#
(Please ~e or print and sUm at bottom)
ADDRESS
/7z23
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
D&6/CFI6L-J::)
LEGAL DESCRIPTION (office use only)
I. White
2. Pink
3. Yellow
File
City
Applicant
O/e/t/6
-
St;;.
LOT 1 BLOCK 2. ADDITION DE-E:/C~/ 6. L-D
OWNER
(Name)
.I
GO()0 WIL-L--
(Phone)
DON rlL-O
611nl E: 115 .413011;::-
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
NA-
(Phone)
(Phone)
o New Construction
~eCk
o Fireplace
DAddition
DAlteration
DLower Level Finish
DPorch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
3_;}-5-03
I PERMIT NO'Q3_ 0357 I
,
ZONING (office use)
12.1
PID 25-370 - 027- 0
qS~-2dfn - }qq3
ORe-Siding
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
submltted plans I am aware ~the building offiCIal can revoke thiS permit for Just cause Furthermore, I hereby agree that the CIty OffiCIal or a designee may
enleR;pon the propertyJo erfo e~ns
X ~~t\ . _ If}
Signature Contractor's Llcense No Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
\ Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
)J)()O 1J'y
e,q ~.s
4j fJJ
/ O~
. Th~'J~P}catio;lJ"r.s Your Building penni~ When Approved
_I f/(/~ ~)k 1 ).(; -0 J
Building Official Date
Park Support Fee
SAC
1 Water Meter Size 5/8"; 1 ";
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid
I Date
a I/,-F,~b
. ?" _ ;:). (,., - {)1
# $
# $
$
$
# $
# $
$
$
$ //~~
ReceiPt No. :.,V? d-7'
Bv ~
This is to certify tha~~~~~ ~o the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
:~rtJ ilie ~ ti:nstiwtes a tewpo,~ Ccrtificate o;~:~o:p;mce md allows oon,(2';qtoJmm;:efo"O::~;' a ~::e::; must be
Manning Director Date Special Conditions, if any
24 hour notiee for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 1'1 .;a;a.3 ~t!Y'.p,'e.'~ D ~
TYPE OF WORK Dec.k
USE OF BUILDING -S~F .
PERMIT NO. t!:>3- '7- DATE ISSUED
BUILDER D~N..IJ OCJdw; " . PHONE # .:la.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I yiiv~:r I t-j_~~~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
DEPARTMENT OF
BUILDING AND INSPECTION
I FINAL
/lVV
t..(- ).)-6>
I
j
1
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
II