HomeMy WebLinkAboutBuilding Permit 03-0761
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I ~G 7 ()
~/(,!<Vl
OWNER
CONTR.
DATE TIME
q-( t. O'J>
1J.-/
,
PHONE NO.
PERMIT NO,
'?,-7tl
o FOOTING
o FOUNDATION
j;l"FRAMING
o INSULATION
. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
,.. PLUMBING FINAL
o MECH FINAL
COMMENTS:
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
P""'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK ALL FOR REINSPECTION BEFORE COVERING
Inspector: ...l -{[7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
a_______~___._.,__._~__.____.__ _'_'__"'_~__'___'___'__" _ _...__".__MW_ ,,,----,----'---"---"
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
&, ). 03
File
City
Applicant
I PERMIT NO'03- D 1{p II
VII//
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o
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2. Pink
3. Yellow
Please or rint and si
ADDRESS
at bottom
r~/V~/,A/ ~/t..-
/&G 70
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
Hl~l,t! /
B""h ("oct:
ZONING (office use)
BJ
- tJOZ- - (j
(Address)
S'I
fr,~'" 1..1:"
(Phone) t;.tj"'-j - o/~7- '76//
(Phone) C{Jj",J. - ~0/7 - b~ ';'9'
C.,.II (Phone) b/.J - '? ~~-O'5"'Y?
BUILDER
(Name)
k''At. .u_. Eke.f"../~ (;,d".....~/'- S
)'t<<>",,~ ~~4'_""""'J
6/70 S.u ,4,.,,, /"
? j' .J 7::l
ORe-Siding
(Contact Name)
(Address)
Pr'OI" L.../:....
HIJ
~
TYPE OF WORK
o New Construction
ODeck
DPorch
ORe-Roofing
"Alteration
DLower Level Finish
o Fireplace
OAddition
o/~ 000
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 th 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 a ware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
exorer upon the prop to p~m needed in~ections.
\.' ('1'100971;; 5'"-Og
Signature Contractor's License No. Date
Permit Valuation 0 000
Permit Fee $ 16 .25
Plan Check Fee $ 1r7.91
State Surcharge $ 5. ,-
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Water Meter
Size 5/8"il";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
$
$
$
;5 .Db
~.?;?~O~b I ~~ceij~ljq.7 fi1
TOTAL DUE
I Paid
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
~1
White - Building
Canary - Engineering
Pink - Planning
Thr ern!r. of lhr )..10.., ('ounll"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
tAHU NA 5LE-GT}U~
t.P. s-. 03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1 (~~ 70 F/241 N~I N it<Pt1 L/
Accepted Accepted With Corrections /'
Denied C? to/.3
Reviewed By: f?-O/4 Date:
Comments: 5~ p~S
"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
INSP,ECTION RECORD
( hr; 1 0
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR KArl ONA Et.t!f:c-rj4rc.. PHON W'Z- 38., -e>~1~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
Tfl- u~lr (00 ~ 110
INSPECTOR
DATE
I J T nfUI81 I
~- -----. _ (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
... - .~ ~ , ..
._-'-:'-~~a~
FRAMING
ilIY J'I_.J
ELECTRICAL
n. (if required)
~ AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
G (Prior to Soddin )
BUILDING
ELECTRICAL
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