HomeMy WebLinkAboutBuilding Permit #03-0618
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
17()q5 wrl,lq"""JJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-C(7
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION /)
pFINAL v-CC/L
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
o PLUMBING FINAL
D MECH FINAL
o EXIGRADIFILLlNG
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
COMMENTS:
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D' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
'CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: _~ t?{ -(I r(/7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INmOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
17095"' ;V,(,O(;;~
Date Rec' d
5": 2-3. oJ
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. t2S -- 0 tP If)
/'JU17 '--'
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Phone) 9 ~2 Lfl/ /)- 5 7 3/
OWNER
(Name)
~fJfu"f- Grtts+-
(Address)
PID 2~ - J70 -019 -0
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
Deck
OPorch
ORe-Siding
DLower Level Finish
o Misc.
ORe-Roofing
PROJECT COST/VALUE (excluding land) S
o Fireplace
OAddition
Dutility Connection
DAlteration
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 upo ro erty to Il rfo n inspe' ns.
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~~
Building Official
-S-/.2-3h3
, Da{e
Contractor's License No.
5-23--03
Date
Park Support Fee # $
SAC # $ I
Water Meter Size 5/8"; l"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 138.Pdn
~~~~ ~~~;~~~
I ~~cei~t~3:f~;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 temporaty Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
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
~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /70 q5 WlvOEJ2.-AICSS 7JU- ~b
TYPE OF WORK .L:Jel/C-
USE OF BUILDING /Z6S' /1'//2-
PERMIT NO. {;3-{j(o If> / DATE ISSUED 5. z.s. 03
BUILDER C5JCN5/ PHONE # ~. -5731
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 FOOTING I t1~ I &- '-1,- U';;
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
I FINAL
I fVV I 'I ..xo-rJ";
Call between 8:00 and 9:00 A.rIt. for all inspections
FOR ALL INSPECTIONS (952) 447-9850