HomeMy WebLinkAboutBuilding Permit 03-1262
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~)
OWNER
PHONE NO.
IJ FOOTING
IJ FOUNDATION
IJ FRAMING
IJ J.liISULATION () I
ZFINAL ~ ~/'L-
IJ SITE INSPECTION
COMMENTS:
SCHEDULED
I. ((J ""- 0-7-
CONTR.
PERMIT NO.
IJ PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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DATE TIMe
11-.1-03
-:5 -12-(, L..
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~R~?LL FOR REINSPECTION BEFORE COVERING
Inspector: JJ!J I ( - >/ ~ 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
(Please type or print and si~ at bottom)
ADDRESS
hz4()
/50 771 sf.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER V
(Name) A ev1 vr.e-lf,
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
o New Construction
OLower Level Finish
M
E e--l/<
Date Rec' d
9.. 18.03
I. White File I PERMIT NO
2. Pink City . Ol? -/" /_" _
3. Yellow Applicant ~ V\O V'
(Phone)
(Phone)
(Phone)
OPorch
ORe-Roofing
ZONING (office use)
R-I ~.D
PID ~./Z.3. 007.0
qr::2-
lftl7 ~7D
~
~eck
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OAddition
OAlteration
ORe-Siding
OUtility 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 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 the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;terupon thep~=Je~~ ? /I?/o '?
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
70tJ q:g I
;lq 4-0 I
I q )..t.( I
,s:.O I.
I
~~'YomBWWm<pemn~~~
Buildilg Official Date
Park Support Fee
SAC
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid
Date
"'f9.J' .,.-
q /1'..07
# $
# $
$
$
# $ I
# $ I
$ I
$ I
$ L/q (1ft-J
ReceiptM6. ~(PIS-
By ;J...
(/
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
f2~ad ~ r+.'
D . S . led" t:Kf.
ate pecla on ItlOns, I any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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PRIOR LAKE
~
INSPECTION
SITE ADDRESS a~oE~qF\9
TYPE OF WORK O'fW'~
USE OF BUILDING ;eES /f)fL
PERMIT NO. Q3 - Ie. ~Z DATE ISSUED t:t"/~ U
BUILDER ~"...",. PHONE # '11/7. .$l))Q
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
.~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I Y VV/ I I()~ US -0>
I FINAL
!/J1~ /1- J~o'~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850