HomeMy WebLinkAboutBuilding Permit #03-1164
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS -if,:J (/{
OWNER
lLui~//d ~~-'
CONTR.
PHONE NO.
PERMIT NO.
~-~Cq
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIO)!? fA
WFINAL f/PY'C/YI
b SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ,wn~R REINSPECTION BEFORE COVERING
Inspector. L..J:-T Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSI<<JTl
CITY OF PRIOR LAKE BUILDING PERMIT, ~. Date Rec' d
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE. /
AND UTILITY CONNECTION PERMIT 'i /2,103
PERMIT NO. 03 "'11 fl?f
(Please type or print and sign at bottom)
ADDRESS
/~3~1 Jl,erot!-/Ff
tCl tec/l5
I. White File
2. Pink City
] . Yellow Applicant
5E
ZONING (office use)
Ptlf)
LEGAL DESCRIPTION (office use only)
LOT 1 BLOCK 3 ADDITION Dt~/NAL "DGE '7H/fU) IIJdrno'U
OWNER
(Name)
t<\c\-t ~~ ~~
/(,'5 () / ~t en l)fl.I,q C /) rl..1I €:-
/hmt O~lVerl
(Address)
PID 25. 3/(P. () Z 7. 0
(Phone) \. qSlj L(4:J-5~O:]..
~
,S~
~H*17.. n 8t:o'ifJ/
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
/'
.%oeck
o Fireplace
o New Construction
DLower Level Finish
o Misc.
(Phone) SAm E" IlS 14- ~t:)" €
(Phone)
"
~orch
DAddition
ORe-Roofing
ORe-Siding
DAlteration
DUtility Connection
PROJECT COST IV ALUE (excluding land) $
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
enter ~e p~.?9 tr;prrory,/led inspections.
X J~ ~ nq-o.J.-O~
~ - Sign<kure Contractor's License No. - Date
""-
This is to certify that the request in the ~licatio~ 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.
44/ZZ / 1
$ q-,. 2.5 .1
$ ~.z.-I' 1
$ '2..6V 1
$ I
$ I
$ I
$ I
$ ~ I
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
1 City SAC and WAC
Water Tower Fee
$
$
$
$
$
$
$
$
- ~
$ {1o:z. .4(0
/. ,
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#
#
#
#
Builder's Deposit
1 Other
1 TOTAL DUE
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
White - Building
Canary - Engineering
Pink - Planning
The Ct'ntt"r of Iht' t.akr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LJOO/I-/, eltJHrtlZO
I
9. 2. Q3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
It? 30/ VI C!.Au/U,4 &/;eA/6 s&
~
Accepted With Corrections
Accepted
Reviewed By:
mJ
Date:
Denied
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."
PRIOR LAKE
.
INSPIECTION RECORD
SITE ADDRESS l~So ( \!c..-rofLV+ C-4-ve ~6-
NATURE OF WORK ~+ ~ ~
USE OF BUILDING ~ kif!- I ~
PERMIT NO. (JS - / /1p4- DATE ISSUED ~ 1'3/<:>3
CONTRACTOR ~~-t 13o~ PHONE t +4(... 5'07
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
..-,.1 FOOTING
I
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
TJEC-K
......
1M1 t{ - u- (/?
INSPECTOR
DATE
.
~U' -=- - _ AfER I SEPTIC
FRAMING
INSULATION floot'" y1f 10-10-11)
ELECTRICAL
-
HEATING (if required)
.-.
.,-..H TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ VE:i2-' f, ~)('S"NG, F~'iiN~S VJJI' I t4.~(/) I
. FINALS
__ (Prior to Sodding)
BUILDING
ELECTRICAL
--
HEATING
DO NOT OCCUpy
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0/f'
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vbr/ /Ir 7~urJ
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.
FOR ALL INSPECTIONS (952) 447-9850