HomeMy WebLinkAboutBuilding Permit #03-1041
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
IC ?'1~
Wi~J1~;;;
OWNER
CONTR.
DATE TIME" '__
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1>-1
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
D FRAMING
o INSULATION
'FINAL
'b SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
3-/tJ'1l
1-ILIJ-O
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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'15 hvi/r-
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o WORK SATISFACTORY, PROCEED
, CORRECT ACTION AND PROCEED
C CORRE~ FOR REINSPECTION BEfORE COVERING
Inspector: Owner/Contr:
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
g- ~.,()3
LEGAL DESCRJPTION (office use only)
LOT 11 BLOCK ( ADDITION
Date Rec' d
~: 'S: ~icant I PERMIT NOO(13- IDL/V
T ('o..~ l
t> r ~o r
ZONING (office use)
12(5.0
lo-.ke
Pill .
- ~/g,. ()/9
rh
OWNER
(Name)
-.:J (1 ~- \ ebo-h 1\
l i.Q<f'l.) W~ L6~V\es.s ('1"0.: l
(Address)
(Phone) q 5;1. - 4 'to - (03<:0;;2.
?rrgr la.K-<. / J/Y1.IV 5537<.
BUILDER
(Name) ""30"" "-
(Contact Name)
(Address)
L~bl>.\...^
(Phone) 95;;l-ttt.t{)-~3fc;),
(Phone)
TYPE OF WORK.
ORe-Siding
o New Construction
ODeck
o Fireplace
l8Porch
OAddition
OUtility Connection
ORe-Roofing
o Misc.
OLower Level Finish
PROJECTCOST/VALUE (exc1udingland) $ c2 0 1000
OAlteration
I hereby certify that I have furnished information 0 this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
. and that all construction will conform to all existing state and local laws and will proceed in accordance with
official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
'ons.
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Contractor's License No.
Date
$
$
$
$
$
$
$
~ 0:;0.-
"2. 37 --t\"
Ir4.z
{.eX>
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
~ $
I ~pt~"~/O
WaterMeter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I P 'd
D~te
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 conslniction to commence. Before occupancy, a Certificate of Occupancy must be
'-';2. ~mg 0"","" 0/ ~ s S",,,,, c_~. ;f~,
24 hour notice for all insoections (952) 447-9850. fax (952) 447-4245
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The ('enler of Ihe Lake Counlry
~ ~Idin~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ()~ b{.J?~
APPLICATION RECEIVED ~.- ro -0 \3
" .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/r;;qt(B ~cJ./L,..
Accepted
Accepted With Corrections V
/
t!J~
Date:
/2~4-t (/ ~~/.?
~'h
Denied
Reviewed By:
Comments:
i. f i!2..: r?.../tc.....<:-
"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."
II
White - Building ,
Canary - En~ineering
~nk - Plannln~
Thr Crnlrr of Ihf' I.akt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
.,APPLlCATION RECEIVED
i
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J. . 1./ !,(,~)
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,Y ~
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The Building, Engineering, and Planning Departments have reviewed the building permit
'" application for construction activity which is proposed at:
1/ /j' fl';
C1 ,-,'
! ..j !./
~.., ,,/ '.~~.>' /
,. /A.......... ""./- ' -
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Denied
Wfr
Date:
Accepted
/
Accepted With Corrections
Reviewed By:
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."
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1-
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1~!I:i1 ~M'...~7'1-
NATURE OF WORK ~ 1-
USE OF BUILDING ~
PERMIT NO. t> - Ii DATE ISSUED ~- 7-
CONTRACTOR ~ - _~ h ~11^"" PHONE ~~~- ~ !Jt.::1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING ~{ {'vC0>
FOUNDATION (Prior to Backfill) --- fro --0
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
FRAMING
INSULATION
ELECTRICAL
(if required)
FIREPLACE -I -
GAS LINE AIR TEST to 'U--c/)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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.
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