HomeMy WebLinkAboutBuilding Permit #03-1472
(Please type or print and sign at bottom)
ADDRESS
f~4 b<o
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/1- (j~
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. 03-ft.f7~1
L A~-rL c;;: ~A-1Jr
V\J "^y
LEGAL DESCRIPTION (office use only)
LOT 18BLOCK I ADDITION
OWNER
(Name)
(Address)
71kado U-J !)~
PID~5- 3fL/-O/3-D
(Phone)
ZONING (office use)
~)--
BUILDER ~ )
(Name) W IL....L~ ErJI.E=~~R\<)~ _-- ~/L (Phone) ~/;;) .;)Oer -:SP5co
(Contact Name) ~. ~ \V It L~ //~~~, I~~~ (Phone) 0/0.').- g' b~-<?-/3fJ)
(Address) b ~O 5' ?oL..C-.; N b M,LL5 ~~ , ("Dko~~
ODeck
DPorch
ORe-Roofing
TYPE OF WORK
o New Construction
o Fireplace
OAddition
OAlteration
o Misc.
~Lower Level Finish
PROJECTCOST/VALUE (excluding land) $ I~ ~O
ORe-Siding
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-mentione e d 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 ilding offici I can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pr rm eded inspe . s.
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
------
1:>c -;)00993018
Contractor's License No.
$
$
$
$
$
$
$
$
L.I
'f( 4!Joo, oa
&7.a..s
#
#
I Park Support Fee
SAC
'-
Water Meter
Size 5/8"; 1";
2. . O()
Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
Other
#
#
~,o t)
TOTALDUE ~ ('.~.03
- .'-
/ de;. f::Jr.::>
'l..L::::.l'7 ...- 3
t /'- Ft' - 0 ~
Date
$
$
$
$
$
$
$
$
$ lZ,ti _ 25' 1
fi~ ~ d~
;.r:.,
'2/'
This Application Becomes Your Building Permit When Approved
~~
/1/S/tJ~
,
I Paid
I Date
I Receipt No.
I By
Building Official
Date
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 11/'1" w9::JfJat:tt+~ t.uw
NATURE OF WORK L I. ~ .. . II) \wi 1,;# c I ( ,-
USE OF BUILDING IJ
PERMIT NO. .Q3" 2- DATE ISSUED I'" $~
CONTRACTOR. ~ftIt-. PHONE_~ I~ f(. ~ il'i
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ .
In
II....Z/
~
~
m )1~~/ 1R
V~ I tq!O<'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING ib \
ELECTRICAL
PLUMBING
HEATING V
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
Thii 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 ac:Witions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
DATE
J-2?-~f
(l~~. ~. fv <>/
?,. J<-/72
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
t t.( L/ l.e( 0
OWNER
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:
TIME
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE' WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:' / Owner/Contr:
CAL~~~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~UlREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSlion