HomeMy WebLinkAboutBuilding Permit #03-1212
CITY OF PRIOR LAKE
INSPECnON NOTICE
ADDRESS :5 J B 7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL ~L
o SITE INSPECtiON
COMMENTS:
DATE TIME
SCHEDULED , 2 - If -03
II :co
~~ C.(~
V
CONTR.
PERMIT NO.
.5 -12.(2...
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
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO[' CALL FOR REINSPECTION BEFORE COVERING
Inspector: \ Owner/Contr:
CALL 447-~ O\OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2 Pink City
3. Yellow Applicant
(Please type or print and si~ at bv..v...)
ADDRESS
J3<f? Sf/I' iN 9 G/fO/V
J
LEGAL DESCRIPTION (office use only)
LOT2oBLOCK 2... ADDITION (;/vNt..J ~7,r
,
OWNER
(Name)
(Address)
C,'r'cle
/lla/j/~Y
BUILDER
(Name)~J P N 5' /tJ Q IV IV
(Contact Name) . r:; c; r y
,
(Address) / ~9./ J) /
tJ J I / if Z~
TYPE OF WORK
o Misc.
)..JOIYIPJ
I) r" v.( S", ; T "
o New Construction
OLower Level Finish
(Phone)
(Phone)
E~ ft:i/V' hlV
'oJ
ORe-Roofing
.rr
1 add
(Phone)
). 00
Qrreck
~h
o Fireplace
OAddition
OAlteration
Date Rec' d
Cl 5. 03
PERMIT NO. O~ - I L' 2-
ZONING (office use)
RZ-
PID 253SI. OZ,O. 0
-5~/:2 2.
ORe-Siding
OUtility Connection
/~ 60() ~
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
exnter up.:i ::o~rty to ~orm ]leded inspections.
rJ~ .....) ~ J9.->-,j' 9-~--o3
. / Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
PROJECT COST IV ALUE (excluding land) $
h.
~~ ~Pd, 00
$ , -,-g 7. ;)~.
$ 154, Z/
$ 7,00
$
$
$
$
$
~,~
This Application Becomes Your Building Permit When Approved
Building Official
9/;IJ/tJJ
f 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 ,~9P.J--rh
I Date //J, 21 t) ']
# $
# $
$
$
# $
# $
$
$
$ 39R:q,
Rece~C;() 7
BYr -- /
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
is~ "~_ . if
_~ ~/-J
Planning Director
7'//0),3
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
The ('enlef of Ihe I.lkr Counlry
White - Building
Ca~ary - ~ngineering
~ - "'lannlnQ~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
IVE/v~;)L'/;-J /\./'ILI 1/6'/~?/~,,-S
'7- r -.,2
t.. " c). i
. '-"" . ...........
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3387 .::rk-/NCj ~f-EAI Clki(!~C
.
Accepted
,/
Accepted With Corrections
Denied
,.
Reviewed By:
~
7~1..J
Date:
9/ / ~~ J
. . .
.~.,
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code 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 shall not be valid,"
The Cenler of Ihe- Lakr Counlry
c;1Vhitp. - Buiidlnp
Cana"rY=l:nglneering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W6Nsn/lN/LI ;-/0/165
C; 5. 03
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3387 spe/Nq ~LEAI ~/e~0~
.
Accepted / Accepted With Corrections
Denied
Reviewed By:
Comments:
~~
Date:
9/;LJfi;;
. ,
'The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code 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 shall not be valid."
PRIOR LAKE
.
INSPECTION RECORD
SITE ADDRESS 33~ 7 ~?f< I-Je;, GLeN C~,-e
NATURE OF WORK p~~ ~~
USE OF BUILDING 7S If=: A,
PERMIT NO. 03 -I Z/2- DATE ISSUED q II o! a '7
CONTRACTOR ~SMJ\,..N Uut,. g PHONE'
NOTE: THIS IS NOT A PERMIT FOR.ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSP~,.;4
FOOTING II '/
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
I I 0-2 )
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
ft)C
-
rl)
~
1L(lL( /b3
ff)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
-.-.
BUILDING
ELECTRICAL
7/tJA
f . r f
I /~
HEATING 6
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
,....
IZ-~
I
/
FOR ALL INSPECTIONS (952) 447-9850