HomeMy WebLinkAboutBuilding Permit 03-0836
DATE TIME
CITY OF PRIOR LAKE 1,,/ "r'/A'"
INSPECTION NOTICE SCHEDULED ~
ADDRESS t'f0,te;?---- WA~ k
""
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL tJiL.:\o(..
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
(~ +=tV
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 41-- Owner/Cant,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'!aNOn
.-. -"~-"'-"'_.'-'---'--~-"---',--"",---,,-,-,-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
&.23.Q3
I. White
2. Pink
3. Yellow
File
City
Applicant
(Please 'Yl"'. or print ood sign at bottom) Z -0082-
I ADDRESS
/~4-52- cY"lS7l-6C?rtT5'
WAY
LEGAL DESCRIPTION (office ose only)
LOT/c1BLOCK / ADDITION /'1011:JOW VIe; /III
OWNER
(NameL CHRIS-mPtl ER WOnb'RU'K'I
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
(Phone)
(Phone)
(Phone)
o New Construction
~Deck
o Fireplace
DAddition
PERMIT NO, a.> _ 083&
I I
ZONING (office u,,)
1<2-
DPorch
DLower Level Finish
PROJECTCOST/VALUE (exc1odinglood) $
PID z.5 - 384- - (')/1-0
q.sd-. - 'fD3-bg/d..
ORe-Roofing
DAlteration
oRe.Siding
Dutility Connection
I hereby certifY that I have furnished information on this applic on 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' construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware .thatfjie uilding official coo .oke this permit for jost cause, Furthermore, 1 hereby agree that the city official or a designee may
enteropo('\epr~ ~spections, & I, a / D3
X>.' Z ~ I
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
\ Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
AOOO ,of)
; Gq ~S
4S"" 0/
I CIa
Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE &/L-L.
//5, Z,V1
(, Z7.0S
Park Support Fee
SAC
~~}ecomes Yoar BoiIding PermIt When Approved
Ut;;:.. (. .1::7-0 ?
Bud g OffiClal Date
Paid
Date
# $
# $
$
$
# $
# $
$
$
(,. 'Z4-, OJ $ 1/5 J.6
/I
I Receipt No, ~~O
Bv~.
0
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
::j1b1J;mn~ con,tiM". "mporwy Cernfic." ~ ~~;~:limce md illow, e::n to :ffice~:ru=:~:.:occup.nq must be
Planning Director Date Special Conditions, if any ,
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 lEagle Creek Avenue Prior Lake, MN 55372
..
PRIOR LAKE ~~rtD~~~~~TD~~SPECTION
I
INSPECTION
CORD
SITE ADDRESS 2. I!;Is
TYPE OF WORK ~
USE OF BUILDING e:.:. R/Je.
PERMIT NO. - DlTE ISSUED (,. Z3 .d3--
BUILDER PHONE #~z..
NOTE: THIS IS NOT A PER I FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY ~EPARATE DOCUMENT
I
,
i INSPECTOR DATE
'FOOTING i I ~ I '7 (1l1t93
PLACE NO CONCRE1E UNTIL AB~VE HAS BEEN SIGNED
. , FRAMING ! W C.- I I{i!, I B
I FINAL
~
Ifrlc~
FOR ALL IN~PECTIONS (952) 447-9850