HomeMy WebLinkAboutBuilding Permit 03-0478
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
)r<lr) Ov~/Ioolt. /:(~
OWNER
CONTR.
PHONE NO.
3-47 y
PERMIT NO.
.jil'"FOOTING r)(cJ[
o FOUNDATION
o FRAMING
D.)/'lSULATION
.JI! FINAL
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 GAS LINE AIR TST
o
COMMENTS:
J/l'WORKSATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
CALL FOR REINSPECTION BEFORE COVERING
!l~ . rf'7 Owner/Contr:
1 nspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
-..---^-.-.---.----.-.-.----, -'_._~-----r
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
e or rint and si
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT ()...BLOCK ( ADDITION
OWNE~
(Name) ..n....
<"c- \
(Address)-J v
~;~;:' ~:;y I PERMIT NO.&2J.- J/'7C1
Yellow Applicant ;::> -, / ~
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ZONING (office use)
fJaP
5e \-.c. VI.-uxbn c \..
PID .:?6- 3"3S-0 ;;; ()
(Phone) 9:;2 - 4 41 - 2-1 i.1Jlo
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
DPorch
ORe-Roofing
DAlteration
ORe-Siding
o New Construction
o Misc.
DLower Level Finish
PROJECTCOSTIVALUE (excluding land) $
D Fireplace
DAddition
OUtility Connection
eck
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. 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
enter u e p to perform needed inspections.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~~ ::J'.wJf-
Building Official
~py/o g
. Date
Contractor's License No.
4- }l>-o3
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1 "; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ J3f',R'h
I ~~~I1'I$~!I:~1 ~;ceiPt~o1Lj I
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 notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.-
PRIOR LAKE m:PARTMENTOF
. BUILDING AND INSPECTION
INSPECTION
RECORD .
SITE ADDRESS 5S4.f 0 bUE12 LtJtJIt.. CJ~J' s::o ~
TYPE OF WORK ~IAJ ~
USE OF BUILDING S,F=: b.
PERMIT NO. 03- '1~f? DATE ISSUED ~/ti J
BUILDER TrOlf SclltllV'2.eAJML k PHONE # L/J/'1-;;2../ ,-6
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I IJVv1 I .f -G-if?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
.... I I
I FINAL. I JZ12V I 1- 30/<17
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850