HomeMy WebLinkAboutBuilding Permit 03-1209
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ lj st. c;('
(1/ Ve ~;'rI
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ,'L..I
&'FINAL ~'"1'-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~.
(t lo,;c
............ ---
-
'-
1-4-
.......
.~....,.
3- /1-tJ '1
o EXIGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
---
(~~
V!v )
/
~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ff q ~ J-61P Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSIiO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
1. II. CV
; ":;::' ~::, I PERMIT NO. /l?_/zoq I
3. Yellow Applicant ( P _
(Please .!VDe or orint and sign at bottom)
ADDRESS/ .f3~fj tf W6Lf /"eo 77C/l/ t..-
LEGAL DESCRIPTION (office use only)
LOT /0 BLOCK / ADDITION
/cNOd H/td-- "fZ-7#
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
140JSt J)f. Suv:C'-5" iLL
1~I\J..y Lt.-+t.
/5311 1!x:h c'(;,t;f-. Crc/c.
(Phone)
(Phone)
TYPE OF WORK
. /I
Wck
(0 Fireplace
DAlteration
DPorch
ORe.Roofing
o New Construction
DAddition
DLower Level Finish
o Misc.
PROJECT COST IV ALUE (excluding land) $
ZONING (office use)
K-I
PID ;>5 'j>~~ ()lO. ()
IMZ) 7'1")- "670'-
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
~teruponth~u7~~ctions ~03y,J77? ~/'11()5
... ~ignature .....-- Contractor's License No. Date
I Permit Valuation 1,~().tJo I Park Support Fee
I Permit Fee $ g:s, Z 5 I SAC
I Plan Check Fee $ 5<1, r I I Water Meter Size 5/8"; 1";
I State Surcharge $ 1,5'"0 I Pressure Reducer
I Penalty $ I City SAC and WAC
I Plumbing Permit Fee $ I Water Tower Fee
Mechanical Permit Fee $ I Builder's Deposit
Sewer & Water Permit Fee $ I Other
Gas Fireplace Permit Fee $ I TOTAL DUE
This Application Becomes Your Building Permit When Approved
~_ ~~fJ 9/"/0'3
Building Official n.lte
I Paid
I Date
L~ j?-iSt:,
4- jJ-O'-:J,
# $
# $
$
$
# $
# $
$
$
$ I 38 . S"
Receipt NoMf7 3.':7'9
By /:;
/J ~
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 DEPARTMENT OF
BUILDING AND INSPECTION
.
INSPECTION
RECORD
SITE ADDRESS It/-- 3(of:; tl~tB1'//&1O -n'& .
TYPE OF WORK IJb--c/C-
USE OF BUILDING IU::S /?I /'L,./
P.ERMIT NO. 0] - /Zf)Cj 'DATE ISSUED 9./1. o.f
BUILDER IftJVJ8 ClL PHONE # (,( { . 7+'7. fj 1" z.......
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FINAL
t/W'/
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!FOOTlNG L-)/C- I "'5'~ I CfJlbJ:rUY,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
FOR ALL INSPECTIONS (952) 447-9850