HomeMy WebLinkAboutBuilding Permit 03-0367
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
f4Lf1f
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIOty L.
)i! FINAL V ( ,
o SITE INSPECTION
COMMENTS:
SCHEDULED
001/'( (~-r
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
Ji' MECH FINAL
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...........
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IV
DATE TIME
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"'< - 3C' 7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
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%'~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT jf.J-5ALL :OR jNSO)ION BEFORE COVERING
Inspector: ill./ b ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY/
INSNOTI
(Please type or vrint and siJm at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
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I PERMIT NO. 03 -03(P 71
I. White
2. Pink
J, Yellow
File
City
Applicant
JI/L/N
Dove-G.-/-
LEGAL DESCRIPTION (office use only)
LOT ;;241LOCK I ADDITION KJl.Jr) h
ZONING (office use)
RI
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(Address) /""""/9 /L ..'-' CI. A-/r -----------.-
MtDER
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(~ctName)
(A8'Itess)
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I
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53.25'
TYPE OF WORK
DMisc.
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/.....
(_, "jCI - '1'90- o""s--8
_tme) u,./ ..1- - C; 6, V - ,<, IT.) /
(I"ne) &/.2. .,>(., y - t..st:> I
~"'A.,:>~":'''",L.
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4--'\ Y j
DRe-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
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
exnteruPo::2'_'.--.~~~ ~,..in._sp,--ecti_o-7ns.
~~~~ 2030}L~(P -?-2B-O-?
- ~re / .i~Contractor'sLicenseNo, e.o-- -f
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Pennit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
/ '
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i
//0/, ~-; /?r/
D New Construction
~wer Level Finish
JiJ~fP
DDeck
DRe-Roofing
DPorch
DAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
D Fireplace
$
$
$
$
$
$
$
$
4. (;()(), 00
~7.2.s
J...OD
40.0D
, ThiS,'lica1{;'O comes Your Building Permit When Approved
~U ]-).gr-O>
Buildi g Official Date
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$ /z,q, z5
I _
I Paid ,'1'i !j)..q, 0'-5 I Receipt No.HL/ () ::3 "i
I Date . ~._ .;;),j-()'6 Bv g~
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
Wheni~n b1e City n constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
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P Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avertue Prior Lake, MN 55372
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE c,fUAffi)
#
#
3...U..tl~
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
11./~
NATURE OF WORK /. ~
USE OF BUILDING ~.1! D
PERMIT NO. ~- O.3fR'7 DATE ISSUED
CONTRACTOR z:;QiAI R"~~e l.iJ.Jc; PHON~" 9'''- '9/
NOTE: THIS IS NOT t. PERMIT FOR ANY'6F THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
Dove- ~+-
SITE ADDRESS
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/7
FRAMING /M./_. '-I-q - d3
INSULATION J/71f/ 0~9'UY
ELECTRICAL ,.,
PLUMBING tlllf... '1-4-03
HEATING (if required) II/r L1-tH0
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
{/lIP
5""tq-(/)
M
M
OCCUPY UNTIL ABOVE HAS BEEN
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.
r;- ).-4 _ <53
~/J-l-\.-u:i
SIGNED
FOR ALL INSPECTIONS (952) 447-9850