HomeMy WebLinkAboutBuilding Permit 03-0174
DATE Tille
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q -)A'- (/J
ADDRESS
"'9 I )
....!:> vi
,IF' Lu--J,"1. / .f-;,.J~-<-
CONTR.
OWNER
PHONE NO.
PERMIT NO.
:5 -I 7'-(
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Jf'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
J;rMECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
o WORK SATISFACTORY. PROCEED
,//II CORRECT ACTION AND PROCEED
o CORRECT we CALL FOR REINSPECTION BEFORE COVERING
Inspector: 4" -J.-q-If> Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'NV<<>n
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
at bottom
~. ~i~:' ~::y I PERMIT NO./) "2_0/'7..,,( I.
3. Yellow Applicant ~ ~ /~
ADDRESS
LEGAL DESCRIPTION (ollice use only)
ZONING (office use)
ADDITIO
PID
I-
OWNER
(Name)
W /e-h fe.y /VI o.,pJ
(Phone)
.gqs-tJ9Lf7
(Address)
S+e. phee ft/ ; e-.
I
.me./
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~ower Level Finish
DDeck
OPorch
ORe-Roofing
OAlteration
DRe.Siding
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DAddition
DUtility Connection
o Misc.
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 upon the property to perform needed inspections.
,
x
Permit Valuation 31000.00
Permit Fee $ '7<1.7.J
Plan Check Fee $ ,..-
State Surcharge $ I. j()
Penalty $
Plumbing Permit Fee $ 40. On
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Pennit When Approved
~ ~~ .:;1t,p/03
Building Official . Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other e; 1A5- (J,. ne- f (J.ti- t.- $ I. 00
TOTAL DUE $ /J~. Z5"
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
=~~lann'~:orary c,rt~;;~p;c, ,nd ,llows ,0",truClion to commence. Befor' o'Ollpmcy,' Ccrtifi,"e ofaooup,ncy ffimtbe
Planning Director D&te 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 RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5920 (JI1l::.O//IIrlL--.e-/ oa6 7J3,t:;1 t.-
NATURE OF WORK LOli/EX- L.-6V6 L-
USE OF BUILDING /Z6J /?/~
PERMIT NO. (j3-t1/74- ' DATEISSUED Z-18-tJ.3
CONTRACTOR /ZI/C!II-75JC.f"1 fiN PHONE ENS - 0947
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
---
laJu -----.J I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING if required)
L-( r t c/]
L-1t.c/S
&-L? (/)
i.. I 2. 03
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
qr r{)3
t/J4?
~
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.
q - J.- q-r()
-PhI>
SIGNED
FOR ALL INSPECTIONS (952) 447-9850