HomeMy WebLinkAboutBuilding Permit #03-0431
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~.~i~~e ~::y I PERMIT NOo('l<;?_ 'J3/,
J. Ye!low Applicant / ....J VI
(Please type or print and sign at bottom)
ADDRESS
1.53(.. ~
tJIJb6:i+-" (/!t' h-.
ZONING (office use)
tel
LEGAL DESCRIPTION (office use only)
LOT~LOCK (ADDITION wAd S~
pu:t:?5-3r?:2- O~3-c)
OWNER
(Name) /111c tt~{;.L
&A 17il...,
(Phone)
9<))...' '(03, <:'747
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~eck
o Fireplace
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
OAddition
OAlteration
OUtility Connection
o Misc.
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
.ndu,,;,,' "''"' f~ tho hove- tio' ~' th" ill ~truction will oonfunn to ill "",ting "'''' "'" '0001 ,.~ "'" will pto=' m .=ro.nre with
submitted PI~S' m are a 1 'ng 0 al can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ente: uPf~ ro ;/ 0 p 0 e e inspec' s.
x~F ~ ~ ~~~
{ Contractor's License No. Date
v
Permit Valuation ~; I I Park Support Fee # $
Permit Fee $ I I SAC # $
Plan Check Fee $ 0=>-2-\ I I Water Meter Size 5/8"; I"; $
State Surcharge $ '- . ten I I Pressure Reducer $
Penalty $ City SAC and WAC # $
I Plumbing Permit Fee $ Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ lather $
I Gas Fireplace Permit Fee, $ I TOTAL DUE $ {~Z .t~
..
I Paid lfP. Z. ~ Receipt No. 44~
I Date f-! ('}, 03 By f4JkI-
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
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 DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD.
SITE ADDRESS 1S-3 ~, ~~ +. t! I Y
TYPE OF WORK ~ khz-
I ,
USE OF BUILDING ,D~
PERMIT NO. .O?>- 1<"/ DATE ISSUED 11- IS-.j .
BUILDER ft ,GJt4e.{ ~ PHONE #.$52 -4~..f.:lj 7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.
IN~~
FOOTING I a---/J I 0- J ZJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
DATE
~ FINAL
I (IrS I
Call between 8:00 and 9:00 ~r all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
153G~
SCHEDULED 1- ~-6,
'50~..~.. ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
I. T",~~.
~~\_~
3 - V-'- \
'-t tt3J
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
s~ st~~~
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRE K, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
l/'iSliOn
'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!