HomeMy WebLinkAboutBuilding Permit #03-0045
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
17UI
Wf~$'
OWNER
CONTR.
DATE TIME
/2.-2,) -C!?
o
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION / /
$FINAL ~ I '- (
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
o EX/GRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
JiifwORK SATISFACTORY. PROCEED
10' CORRECT ACTION AND PROCEED
o CORRECT WO FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
_on
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
/- 7-03
I. White File I PERMIT NO ~
2 Pink City . /J? - 0
3. Yellnw Applicant V"::> _
ZONING (office use)
!/!;}-t:,/
WA~~p./
~
LEGAL DESCRIPTION (office use only)
LOT3BLOCK
~
J --yre)
lJrr-:~ss )
PIr:b25 -
(
b..) ...95 d - 4'10 - \\ '-f L
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ODeck
ORe-Siding
o Misc,
o New Construction
)qLower Level Finish
. '::3~.
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OPorch
ORe-Roofing
DAddition
o Alteration
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 awar at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u th rope eeded inspections.
x
Permit Valuation :s,OOO.UO
Permit Fee $ 76/. 7 S
Plan Check Fee $ --
State Surcharge $ /..st)
Penalty $
Plumbing Permit Fee $ L!O.OO
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~ J:/dJl-
Building Official
1/1/1:1'
Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $//10.25
Paid /71/ z~
Date - :.; -C)
va. 4:?~4-
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 consttuction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
~7j~
Planning Director
//?ft3 ~~ or'~ ~ ~-~
, 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
l
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BU.ILDING AND INSPECTION
SITE ADDRESS 17ZIP/ W/~D6JGN6.ss pZA/'--'
NATURE OF WORK L/JwefG DE-VEL--
USE OF BUILDING 1Z65 /ilL
PERMIT NO. tJ3 - 00 ~ / DATE ISSUED 1- 7.. (/3
CONTRACTOR /-10(/'1 L3&..ea1 PHONE 44-0 - //~/
NOTE: THIS IS NOT A PERMIT F R ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
...... I
I I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
t.- - J.- riflJ
~ k (['J
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.
FOR ALL INSPECTIONS (952) 447-9850
1I1 II