HomeMy WebLinkAboutBuilding Permit 03-1382
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 10-15-0)'
ADDRESS &.RR5 . ~&I.I^ S-\-.
OWNER CONTR.
PHONE NO. PERMIT NO. 7- I !~"2.
o FOOTING o PLUMBING RI o EXlGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~INAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
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C'",- ^ (r
}' WORKSATISFACTOR", PROCEED
o CORRECT ACTION AN ) PROCEED
o CORREcm CAL L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Conlr:
CALL 7.lJ. FO!' THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREMEJ 'TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
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CITY 01 PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND 1 JTILITY CONNECTION PERMIT
Date Rec'd
10. /-1-.05
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I ADDRES~
',' ,- 6<f' R..r l$rv~ IV Sf:
I. White
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO. 03 -/382-1
m/OJ"'L t.A,l:.e. P'1 'V ...r...r3 7 2.
I Z;~~officeu,,)
,
LEGAL DESCRIPTION (office use only)
LOT 0LOCK I ADDITION W A1G ~ bD~ I sr- ADD,v.
~ 1
r 1 OWNE~// _
'-\i<Tamej S'1"o"T C-O(."IX tolZ-(-~ (Phone)
(Address)NJ>-.r l3IJVC~noJdT 7':>I'l/C"7- I-Irl/::.E. ..r...r:r;;>Z-
PID25' ICfI.DOl. 0
W.Y"-O.9::>00
BUILDER ..-:-. I
(Name) dill *- i{()jaJ..6 ^/~/5
(Contact Name) ::};" fl. K/i /(J J
,(Address)&x-'itC)6Dud'-n ,<Jr. f.'ioyLaJ.p inn
(Phone) (P/:J.a/J-f-(dfX)
(Phone)
5::J37 :J
TYPE OF WORK
o New Construction
ODeck
DPorch
DLower Level Finish
o Misc. T et-J AAr h IJ 1<\ t.J.
o Fireplace
OAddition
ORe-Roofing
DAlteration
ORe-Siding
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
EaJ.-
I hereby certify that I have furnish d information on this appl ication which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the a ve- ned property and that ~1l construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I are e building official can reo 'oke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~. on the to needed inspectigns.
/, 'Y,X./ )....., ,;r<-Sl'gnature (AJlU.f)Kc 1t.:J, / oj JiJ J {}:;J,
_ ~ ' (- -- " Contractor's License No. Date
1 Permit Valuation ~a?- 1 Park Support Fee # I $
I Permit Fee $ 'Zz,..'.:O I SAC # $
1 Plan Check Fee $ /5'/11 I Water Meter Size 5/8"; I"; $
I State Surcharge $ "S':J I Pressure Reducer 1$
1 Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Permit Fee I s... I TOTAL DUE ~ 10.15'.03 $ 31 :1-1
/J I ,
~:l~~d I Paid :'1 ~P,,7 I ReceiPt'l' ~9.3'
I Date / fJ.lS Q f Bv _
(J
bate I-
This is to certify that the request in the above application and accompa lying 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 loning 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 fo . all inspeclions (952) 447.9850, fax (952) 4474245
16200 Eagle Creek Avenue Prior Lake, MN 55372
---1-
~~
White - Building
Canary - Engineering
Pink - Planning
Th.. C..nl... of lh..l..kt Coun.,.,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
3'1 LL. ~/-\LA L
Ie. 14-. (3
APPLICATION RECEIVED
t
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction actil 'ity which is proposed at:
? bt5 B0UU 11\1 Sf.
"
..
6:
Accepted
f
Ace epted With Corrections
Denied
Reviewed BY[~Y~
Comments: C I
Date:
10'/13.0-3
.f
..
"The issuance or granting o' a permit or approval of plans, specifications and
computations shall not be const'ued to be a permit for, or an approval of, any violation of
any of the provisions of this co je 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 sh,11I not be valid."
'"
PRIOR LAKE
INS ECTION
R CORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS &~ -p.,e>-'\)'Ns' sr-12.-~
TYPE OF WORK ' I ~-" hN ISlA-
USE OF BUILDING I /r~ A!f-
PERMIT NO. 1)"'5-/,,>82- DATE ISSUED loA+-/.o3
BUILDER .JrL-L ~~L-~ PHONE #.fieI2..-Zqe,-<:'/C:b
NOTE: THIS IS NOT A PER IT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY S _PARATE DOCUMENT
INSPECTOR
DATE
I FINAL
(-((; )
Jo- (~
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PLACE NO CONCRET: UNTIL ABOVE HAS BEEN SIGNED
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Call between 8:( '0 and 9:00 A.M. for all inspections
FOR ALL INS:)ECTIONS (952) 447-9850
~~
White - Building
Canary - Engineering
Pink - Planning
TI1~ Cf'nlt'r or Ih..I..kf Counl')
BUILDING PERMr' APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
JILL ~LAL
10. I 4-. 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction acti lity which is proposed at:
I;, 86>5 130UOI N ST.
Accepted
Denied
ACI :epted With Corrections
Reviewed By:
Date:
Comments:
"The issuance or granting e f a permit or approval of plans, specifications and
computations shall not be cons :rued to be a permit for, or an approval of, any violation of
any of the provisions of this ce de or of any other ordinance of the jurisdiction. Permits
presuming to give authority te violate or cancel the provisions of this code or other
ordinances of the jurisdiction s~all not be valid."