HomeMy WebLinkAboutBuilding Permit 03-0925
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED /! - ( -o~
ADDRESS /513"2 .1..OJ.,c... ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3- 9Jt:)
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIDN L
.sJ:INAL ~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
-Lf6,.,l+ ~
/?4 ~ ,'S l/InLJ.....
"
o WORK SATISFACTORY. PROCEED
vi CORRECT ACTION AND PROCEED
.~ CORREmc' CALL FOR REINSPECTlON BEFORE COVERING
Inspector: Owner/Contr:
CALL 7- 8S FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
-~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'7.//.0]
1_ White file I PERMIT NO I
2 Pi" Ci,y . o..)? _ /\~.., r-
3_ Yellow Applicant ~ V '7 ~
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
IS/31-
Jt(f~,rS
/1,55 M ~
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK 3 ADDITION 'Jtf.(,."s $0.. fi
OWNER
(Name)
VaUJ'j rtlGUU,
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
DLower Level Finish
(Phone)
(Phone)
(Phone)
;;lil)?eck
DPorch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
D Fireplace
DAdditiou
DAlteration
/U
PID Z~. .3?S'. O!.-'f. tJ
qsz- Z~O -'lJ..11l
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
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
enter ~po~e ~ to.wrorm needed inspections, 1- ~.
X / '::Z.-~~ --, /- ".;)
_____ Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
)..fXXJ qy
G'f M
Ltr- <!.i
I~
mes Your Building Permit When Approved
Building Official
7~ /(-03
Date
Park Support Fee
SAC
! Water Meter Size 5/8"; 1 ";
I Pressure Reducer
I City SAC and WAC
\ Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid //~2..-~
Date 711. /) 7
# $
# $
$
$
# $
# $
$
$
$
(/
I Receipt)(o,
I By .:::+
U
I/~:U
4f9"~
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
~,",d. (2-ra J J-ttJ(
Planning Director
~ /-h... C1'1LJ-r-
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
INSPECTION
REC RD
flus.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING ~
PERMIT NO. ()3-cJC?i-~ DATE ISSUED ~-61
BUILDER PHONE#~.'""
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.
/ FOOTING r rlf;ECTOR I DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
/ FINAL
-
o C t?/ r! ~) .-r~;I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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