HomeMy WebLinkAboutBuilding Permit #03-1428
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
lOr 2A.o3
PERMIT NO. ()3-It.fza
(Please type or print and sign at bottom)
ADDRESS
L'ol2- '~f>~"j Bhtd NlN
frtov LtlJt.JL,
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID z54~87. o.3Q40
g.'::e~R ,Ma->>Mw +- CLLvrie, Lu.!jen
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
TYPE OF WORK
ZONING (office use)
(Phone) q S 2 - 2.33 - $' III
(Phone)
(Phone)
o New Construction
ODeck
o Porch
ORe-Roofing
'r)(Lower Level Finish
o Misc. 3~
o Fireplace
o Addition
o Alteration
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-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted pI s. 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 upon property to erform needed inspections.
PROJECT COST IV ALUE (excluding land) $
x
Contractor's License No.
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
$ //&.76
Recejpt No. ij oR'a :;.
BY/ __\
if! 3000.00
$ 7f. 75
$
$
$
$
$
$
$
I Park Support Fee
SAC
#
#
Water Meter
Size 5/8"; I";
J ..~O
Pressure Reducer
~IJ,(JO
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE tItW.m II. +' .03
I Paid 1/-4- a~
I Date . 7/-) t/ - ~
,
This Application Becomes Your Building Permit When Approved
7Jt;~-I-
Building Official
IIWft3
( Date
1[)-/9-t!~
Date
I ,/
I
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, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION. .RECORD
SITE ADDRESS /4-3/ z /3eco/CI'16e6 BLt/ ()
NATURE OF WORK L-OW6Je L-8VEL-.
USE OF BUILDING I!:e S AI R.
PERMIT NO. (J3- /4zf3 / DATE ISSUED /0.23.63
CONTRACTOR L () / ~ SA! PHONE 233. e 1/7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
..-
l/\J!c- 0lk- t J-l q te3
vr t c- ~ (;L?qjM3
L1-lf9 (D3
~~ L 1- t C;; tef5
~ \I'~I qttJ3
J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
if/h
Z--Ls
I
,
~
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 acWitions
where no service cabinet is available, card shall be placed near main entrance. -
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
l.1..:J ~ or1/... ~ :~
ADDRESS I Ll3 \2 ~~~
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?- 1(~9)
o FOOTING
o FOUNDATION
o FRAMING
o JNSULA TION
)i!f FINAL L. L- ~~
o SITE rNSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
COMMENTS:
/~
I rY
/(\ L
'; ) .I r . f) /
V I -V
-~ \ C?
L.-/
AORK SATISFACTORY, PROCEED
o CORRE~TION AND PROCEED
o CORRE;;T 7Rf' CALL FOR REINSPECTION BEFORE COVERING
Inspector: / '--7 Owner/Contr:
\J : /
CALL 447- ~ft FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl