HomeMy WebLinkAboutBuilding Permit #03-1224
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
L63u' V~v~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TI<?Jil. 1/
..2l FINAL y~(/,<-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(j) t4-d c- 05dl k
nV\ bD~
DATE TIME
/0 ");"!rf/)
, "5-1 Lt t-(
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
10 hA-hv..
va '111;" ~ ~ r-rtf2
c>F 4Y~5
S~PS'
---- --
~ ~/"'\
/" I.' ~ _
( I)r)~~
\ I \.1'-'
,-
----
..........
'\"
)
L Jv-1t /
./
~
~
/1
o WORK SATISFACTORY. PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WOR~' CALL REINSPECTION BEFORE COVERING
Inspector: I. Owner/Contr:
II
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .( SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9 /5 03
I. White File I PERMIT NO
2. Pink City . 03-/224-'
3. Yellow Applicant
(Please tvoe or orint and si~ at bottom)
ADDRESS
\ ~ ~2lo "-rt:..~O~..:t.~c..\)a...'-!e:. \)Q"tOa.. ~ I \v\~ ~ '11 d-.
ZONING (office use)
PusD
LEGAL DESCRIPTION (office use only)
LOT 4-BLOCK / ADDITION ffl1u)1 tJ kL- IU o6tG r"71-f PID z.,S". 322. tJ 04-.0
OWNER
(Name) (Phone)
(Address)
BUILDE\\ C 0_ .'- I .. Qc1\ .c::..
(Name) ~~\J.J.o~ ~~\.-~~~~~~'UJL.'(Phone) \O\1:-\o\'-.i2..\..l
(Contact Name) ~ \.$1.">l'u.. (Phone)~€.
(Address) \~1.. q ~'-J.J\o.l ~v ~~(i. -S~~....) \.Au- ~S~\<\
S,oeck
TYPE OF WORK
o New Construction
DPorch
ORe-Roofing
ORe-Siding
iI Fireplace OAddition OAlteration
PROJECT COST IV AL1JE (excluding land) $'<<. \ t::.;:"CIC:J:) . ti)
OLower Level Finish
OUtility Connection
o Misc,
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 property 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 e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to pem eeded inspections.
X ~
I Signature
C\\\~\t))
~\Q~
Contractor's License No.
il'a()()O t DO I
$ /55, 2..S I
I $ CfG, . "I I
1$ L(,(Jd
I $
I $
I $
$
$ /fd, fld
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I Park Support Fee
[SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other ..IP l)j
I TOTAL DUE tF"~~..
I Paid '2::Q.3 _ hI n
I Date '!l /-:p. ~7
$
$
$
$
$
$
$
$
$253.~h
#
#
#
#
Recep't.No, 4..~Oj'
By :1-.
U
This Application Becomes Your Building Permit When Approved
~~~
1/ I ftJ (6 "J
Date
Building Official
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, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
-oi
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
REC.ORD
SITE ADDRESS tto'Su, vlc-rorc.l~ a,eJE _
TYPE OF WORK tJlaW ~CK ~(Fk""'~~
USE OF BUILDING S.r: I) · _ ~'GlN
PERMIT NO. ~.. 1.&1.... DATE ISSUED 9Jlt.(D7
BUILDER MDI\&a.)ulC.fJ ~. PHONE #4.1&-""1211
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-
~ FOOTING I M" I I()-/~'-v;.,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
INSPECTOR
DATE
~ FINAL
....,
t/I/}//
10/).,114)
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850