HomeMy WebLinkAboutBuilding Permit 03-0921
ADDRESS
1 L/ L{Ej fA
DATE nilE
SCHEDULED ~/~2-~
~.{ ~I/( ~-e.v'iC flludJ
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
PERMIT NO.
(t)~~q 2-/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP D' FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
la~l~~~
--
~RKSATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~/ ~ 1 Owner/Contr:
....-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IIaNOn
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
I ADDRESS
/H-tJe Plj(1lc.ngz,c;
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
Ad rI- (7/// ~J
/9'"Y'"tlb ;{?/1Jt)4n&e'
(Address)
(Contact Name)
~nl
(Address)
TYPE OF WORK
o Misc.
&t,("j
o New Construction
kl(,ower Level Finish
7'~ ..3.errJ.S.
Date Rec'd
"7;1 03
I. White File I PERMIT NO I
; ~;;'~w ~;':';'M' . 03 -012.. /
tst.---vO
ZONING (office use)
~
PID z.-s-: 5'8 7. oSs-, 0
(Phone) Y'0d-~:ftl-Or?7d
$tr u.l"e fl,. 5.5J~q
) _ () . fi Ii i- c. /v , (/.
L-u::..r~)"d.-ti' / - / --r--
5sJtJt:
DDeck
DPorch
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
o Fireplace
DAddition
DAlteration
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 l"~l'-"J and that all construction will conform to all existing state and local laws and will proceed in accordance with
subnntted plans I am aware that the budding offiCial can revoke tlllS permit for just cause Furthermore, I hereby agree that the City offiCial or a deSignee may
:t~?_~Jd_."eededmspecnons :7-//-cJ :5
- - Signature - Contractor's License No Date
~~;.~)ER &p~tJ/ M~l.1/M/T (P~'" * //,;,('7-/,/,0'- A'{(Vf?
.4--tf&~n,(/Y1' /{,tY;'I/ 9a~I,';cJ!jhC$
c?7 /?io# '/h'"0'H~ &nwl/f~-
/ I
/ /
es Y~uilding P=;l;kP;ved
_~ batel
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 Fire~ce Permit Fee
/
Building
,
3, 000. oU
$ 74-. '75"
$
$
$
$
$
$
$
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ~
$
$
$
$
$
$
$
$
1 ,II.O~ , ?
I ~~ce#o.
O~
//~. zS-
r<m!>"L
I This is ~o certify that the request in the. above application and .accompanyin~ docume?ts is in accordance with t~e City Zoning Ordinance and may proceed ~ requested. This document
when SIgned by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construcuon to commence. Before occupancy, a Ceruficate of Occupancy must be
issued.
Planning Director
ISO
~().() ()
I Park Support Fee
I SAC
Water Meter Size 5/8"; I";
Pressure Reducer
#
#
#
#
Paid
Date
//fI.?!:>
, -7/(1. eN
f
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
INSP,ECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS / 4-40g (3ICOOKI1(~/0 6'/J!O.
NATURE OF WORK L()WFJe:. /_bl/EL-
USE OF BUILDING (PLJ.... /-7f ~
PERMIT NO. Os - OCJ2.../ DATE ISSUED 7.11. W
CONTRACTOR ~JI/7c/t.Jn,qL I2EJ"7COt.-l...... PHONE (p/Z. 984>. ~0<<f1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
__ i
) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
-
FRAMING
INSULATION
ELECTRICAL (~
PLUMBING
HEATING (if required)
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I J
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
~
~
OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
t?YL
41~t-oJ3
qt1-LM
q / 1/l.!- fi;)~
SIGNED
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