HomeMy WebLinkAboutBuilding Permit 03-0761
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
! (g{; 7 ()
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
.Q"FRAMING
o INSULATION
. FINAL
o SITE INSPECTION
COMMENTS:
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( / /( { J5>C
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SCHEDULED
~/tI<",
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
,. PLUMBING FINAL
o MECH FINAL
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o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT '170~>JALL FOR_REINSPECTlON BEFORE COVERING
Inspector: Y vr,/ t:J .....l {, tf7 Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
~. ).03
(Please type or print and siJro at bottom)
I ADDRESS
/tPtP 70
; '::i~:' ~:;y I PERMIT NO'o.l <" - D 11- 1'1
3. Yellow Applicant '-J (t/
Vltlll
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~ //0
r/&4/V~/"/V/ o~/L--
LEGAL DESCRIPTION (office use only)
ZONING (office use)
B)
LOT
BLOCK
ADDITION
PIDZ1)-/qJ- NJZ- - 6
OWNER
(Name)
Hld,,"- /
B.....h re>c.f
(Phone) t)~G./ - 0/4/7- '71'd./ J
(Address) t-/8 71 1'e<'<.<./, 5'1
;?-,~~. L,k~
. BUILDER
(Name) k'1>L1. "..__ E/....C'-I/'.'c- {' ~/'Y>o.,..h_!,
(Contact Name) \,,.c>,.,.~ /4'AH~_~..r
(Address) 6170 S'~'" ;'{.,,, / 1/ Pr,b~ L....J:,..
(Phone) !lJ;':J,. 0/'0/7 - b;:). .;-q
Cdl (Phone) .hl d - '? 'X 0/' - 0'5" "/~
H/J
5'J'.J ;a
/
TYPE OF WORK
o New Construction
DDeck
DPorch
ORe-Roofing
.Alteration
DLower Level Finish
o Fireplace
DAddition
~~ Ot?O
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 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
Xenterupon the prop rop~m~,ns.~
\.o-/I./t; rA-CJ0t11/ /"-~'Og
Signature Contractor's License No. Date
1 Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
\ Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
.. ,
o ~ II
ThiSEZ]lle dingp7J:l~oved
Building Official ' Ddte
I Park Support Fee
I SAC
I Water Meter Size 5/8"; l"i
\ Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
10.000
161.2.5
//'1. e f
5......
#
#
I Paid
I Date
f-ttLtu1 (p1/.a3
~. &Jt';~00
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.. .-......?
I Recei\Jt Noo'-1" LI. 'J (f -/
IBy ~".
$
$
$
$
$
$
$
$
$ 3a4.0f,
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 (9S2) 447.98S0, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~1
White . Building
Canary. Engineering
Pink - Planning
lhr ('rolrr of lhr I.akr ('ountl")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~AHU NA ELEcJTJU~
w.s-.03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J Id {q 7 () FtZA NJC..GI rJ - I ~I L/
I
Accepted Accepted With Corrections /'
Denied (p jp)3
Reviewed By: f!-O/4 Date:
Comments: 5~ fvAYS
"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
Tfl- U1-//'f" 100 ~ 110
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS (he, 1 0 rl44Alrc 1-1 AI
N~UREOFWORK 4~~~n~
USE OF BUILDING I Ie- A-/12- / /
PERMIT NO. nj --{) 7& / bATE ISSUED ft/c/o3
CONTRACTOR KAH~NA Et..t:c-rfJ.rc.. PHON J"l.'384.e>P/~
,-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
IJlnm8.1 I
~ u _ _ --~ ru. (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
ill? WI_.I
ELECTRICAL
---
I. (if required)
//l/y?
L __ I _ AIR TEST
I _G (Prior to Sodding)
BUILDING
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I
I
I
I
I I
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.
j
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. . .
FOR ALL INSPECTIONS (952) 447-9850