HomeMy WebLinkAboutBuilding Permit 03-0760
'1'30-O~
Mo..,^- ;LAtJ U
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I SilL?
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;$ FINAL L. L .
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIllE
l{:oo
:< -l~O
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
X'WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRrdYIrK. CALL FOR REINSPECTION BEFORE COVERING
Inspector A"" Owner/Contr:
~AL ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
uaNOn
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
(p . II. () 1
~. ~i~:' ~:;y I PERMIT NO. tJ J - () -JI-()I
3_ Yellow Applicant I CR
(Please type or print and sign at bottom)
I A~D;:S~ I Co M ~ y\ , t Q l{
RO
Nt:="
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
OWNER
(Name) _
~~~ro (l~
1/
I~/lc,
(Address)
\(VIoVV\
BUILDER
(Name)
(Contact Name)
(Address) Yo" ()
TYPE OF WORK
~I qrt;Y\
VV\ ~~ ; tee\.
(Phone)
1<..0
Nt:
I ZONING(offioeu"l
'iJJ~ -S'es- I
ORe-Siding
DUtility Connection
I 6 60 (j
I
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 t'.~I'-'~,.f 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
;terupo~toperform~ons .5 r 9 (" - I( ,.... oJ
Signature Contractor's License No. Date
o Misc.
Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
\ Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
$ /"'9. 2-S'
1
I Rec~tNo, Ht/z,"!
BY'~_
(]
( Or~+rv~JrC~')
(Phone)
(Phone)
Cn/~
Ffl"t
(,rtlt
Nt:-
tll\rAL
o New Construction
ODeck
DPorch
ORe-Roofing
~ower Level Finish
'f- ,e#Z>
~irePlace
DAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $
~{)Oo.oO
$ B7,2.5
$
$ 2.00
$
$ 4-0.00
$
$
$ 4-a.ofJ
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I"j
Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
Paid /6,,/ 22'
Date /., _ II. (0"
This A7311omBUildingp:t,;;;roved
Ifuilditlg Official 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 honr notice for all inspections (952) 447-9850, tax (952) 4474245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /5// h H!9)v'F7?J U ~;:n:::J
NATURE OF WORK . / ,OWe;e.. L.hV/-:;l---
USE OF BUILDING ~ fl/i'G
PERMIT NO. ()3-07bO DATE ISSUED h./I.O'::
CONTRACTOR /'I · M PHONE 1/;12-. R:sq. ?2..-5/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
i I
. ) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
fII/Y./
Vvr
0-2 3-~
G- z,~~ r2:?
-
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1"1/]//
iM/
c- :P~~ C:'S
C. "2:3~ '0
Co rl t!J
(JI)
q'- ,10
BUILDING
ELECTRICAL
PLUMBING
HEATING
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