HomeMy WebLinkAboutBuilding Permit 03-0755
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
v;).J.{()
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION /J '-
I'FINAL rdrt/V\,
o SITE INSPECTION
. COMMENTS:
SCHEDULED
/.{()"'" 51
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE
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'3 - ?$S"
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/
/ /./ /....
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-
~WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ,~ t( -/~' d).awner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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(Please!ype or print and sign at bottom)
ADDRESS
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ISO
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
,Stu f 1-
Sf'
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER S (Ei
(Name) V f'fl MIl ,1U1"' Its
(Address) ~L4-D 1'50 I.,. Str.eeJ-
~E
BUILDE~ <;:-
(Name) U 1V1.Q. ~ )LU\(ODrYl ~
(Contact Name) ,101'\1'\ COnJ1-P
(Address) I q~3 S(O.J..1~ p((l('L
TYPE,s;;>F WORK
~..
o Misc.
t
1"5
o New Construction
DLower Level Finish
1. White
2. Pink
3. Yellow
File
City
Applicant
5/503
PERMIT NO. 03-0755
ZONING (office use)
Jelsb
PIDz.:;--/22 -007-0
(Phone) QS2.. - 4t.!...., - SOilJ
(Phon........i1'. .",i'~
(Phone)
DDeck
DPorch
fiddition
DAlteration
ORe. Roofing
PROJECT COST IV ALUE (excluding land) $
o Fireplace
13. DOO
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
autho~' d agent for the :ye.mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submi e pI ;os. I am a e. that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter p tl e Y'~Y':"'J per 0 needed inspections.
X I .dL Be. - 2()~7' X 81 5/ / Z I 0 3
Signature ContractO'?s License 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' -
lH O<JtJ. 00
~9 3. ~S
/qo.t./
q.oo
This Application Becomes Your Building Permit When Approved
......,
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Building Official
,
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
#
#
$
$
$
$
$
$
$
$
$
TOTAL DUE
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1-- 11- ""
L.j if 7 .I'~1n
I Receipt No.l.{t/& q b
Bv 0'--
I Paid
I 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 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
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Thf("f'ntf'rnflhr tlbCOunll'l
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSl:
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
V'"
Accepted With Corrections
Denied
,....
Reviewed By:
~
Date:
(, //0/6:3
I
7W-f-J
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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~
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Th.. ('..n...r of Ih..I.8k.. Counlr)
<,,_White - ~U1ldin~
t;analY .. ellgineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
TBMO SlJ..tLeOOtJ5
ro. 5. 03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(C) 24-0 J 50,-rt S I . 5 e:.
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
R~
-:;l~f-J
a-l-(
Date: A/ioj;1
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Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS (U &.l 0 , CSO ~ S,... ~. ~. .
NATURE OF WORK . '.S--~'~'r)
USE OF BUILDING ,. . 1). -
PERMIT NO. !J.I cJ 7~) - DATE ISSUED 1./ I bib)
CONTRACTOR ~C ~~"""J p~-7~c.t.
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
, FOOTING
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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-
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
,
~
BUILDING
ELECTRICAL
I///!./'
q-/q-~
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850