HomeMy WebLinkAboutBuilding Permit 03-1109
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
1t:J-24.-o")
ADDRESS 17~ -q~ ~.Cv LL~ t"I-L- (j)~ '7<
, .
OWNER CONTR.
PHONE NO.
PERMIT NO.
~ - it 01
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION .
b- FINAL n or ~
1] SITE INmC' 10N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
JJ () J4.CC-Q...$ S
aP~
, I
CJk:7
J( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~CT ~rJ<' CALL FOR REINSPECTION BEFORE COVERING
Inspector: I h Owner/Contr:
CA ~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
/JI/SN(}Tl
I-~/O
(Please type or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
"
/'.r]. fj /']t ~ fir"".
/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address) ~$/ ~P'
::1A'-1
I
ADDITION
L White File
2, Pink City
3, Yellow Applicant
?/J .S~
I
(Phone)
Date Rec' d
B .le.oJ
PERMIT NO, 03 --1/0'1
ZONING (office use)
F:..I
PID zs: 375. 011. ()
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('v'C;~
A6.....(i 7.., ( ~(Phone) Ir 1 - 5''''') J' - //9 CY
.
~
~1. f L /3/Vj)
(Phone)
C;;o ~
,jr,d?' I ') r
,
#tY\.
-1-
OMisc.Lkc-f ?J"
o New Consttuction ~eck OPorch ORe-Roofing
OLower Level Finish 0 Fireplace OAddition o Alteration
. ,
o '" t Iv..... PI':.., k PROJECT COST IV ALUE (excluding land) $
TYPE OF WORK
S'S'Y> ?
~
ORe-Siding
OUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge ttue and correct. I also certify that I am the owner or
authorized e. for th e-mentioned property and that all consttuction will conform to all existing state and local laws and will proceed in accordance with
submitted are that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city otp.cial or a designee may
:ter upo to perform needed inspections. '0 ~ 7/0 :s-
Signature Contractor's License No. 'Date
\ / )
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
It ZM , Q V
$ 4Lf. as
$ 29.IS
$ . "0
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~
?~
Building Official
R/021 ~
, Date
I Park Support Fee
I SAC
I 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
I Paid
I Date
tM1;/;W
q4-J" rJ
~ ~ z,,7.. (J I
#
#
#
#
0,U/,Ol
$
$
$
$
$
$
$
$
$
74. ~o
ffZ(,G--
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, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
PRIOR LAKE DEPARTMENT OF
. .. BUILDING AND INSPECTION
INSPECTION
RE ORD
/43
SITE ADDRESS
TYPE OF WORK ~
USE OF BUILDING /I
PERMIT NO. --'J3 - ATE ISSUED 8. Z/.. 03
BUILDER . PHONE#~a""
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSP~R/J DATE
J FOOTING I 1:/ ~ I q .<J-- c/7 ,
PLACE NO CONCRETE UNTIL AB6v HAS BEEN SIGNED
I I ,
~ I }O-zf I
PA55
FINAL
FOR ALL INSPECTIONS (952) 447-9850
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