HomeMy WebLinkAboutBuilding Permit 03-1211
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CC~NNECTION PERMIT
Date Rec' d
t/. II.rE
ti6-/'/7
(Please type or print and sign at bottom)
ADDRESS
I. White File
2. Pink City
3. Yellow Applicant
jzLJ
PERMIT NO. tJ3-,~ 7
/ ~5 30 LJt,UeLf//CO
/I~/~
ZONING (office use)
1<-/
LEGAL DESCRIPTION (office use only)
LOT 5' BLOCK I ADDITION
/~N 0 lJ HI L,'-~
PID 7,~.310~ 005: 0
OWNER
(N ame)
.sYeI~ JfJ,.;)fS'~ -/ GJq~ 1/llf'PIItfi,
~ fl'. J IIIK ~ NrS"S"372-/zl.1
(Phone)
fJ2- f(J2 - j102 k
(Address)
I V,r- 30
BUILDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~ower Level Finish
ODeck
o Porch
OAddition
ORe-Roofing
ORe-Siding
o Fireplace
o Alteration
DUtility 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
authorized agent for the above-mentioned property and that all construction willi 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
;'er upon the pro~rm needed inspections. t?..1 /11'/ 2t!)t? 3
~ture Contractor's License No. bate
Permit Valuation 3,000.00
Permit Fee $ 7'/.'-' 5
Plan Check Fee $
State Surcharge $ /~SV
Penalty $
Plumbing PClluit Fee $ 4-0. 0 0
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 1-0.00
#
$
$
$
$
$
$
$
$
$/5&. 2~
Receirf}o. /f5? 'If---
BY/ .
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
Building Official
(JIM
. f Date
Paid /.5(,.l-S
Date 1- II.V?
This Application Becomes Your Building Permit When Approved
~ J1~P
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
.
INSPECTION RECORD
SITE ADDRESS / 4-530 L'fLu~ff/1UO ~ / L,,-
NATURE OF WORK UJW~ _~ V~
USE OF BUILDING /Ce-S ,4-/ ~
PERMIT NO. OJ - / I z. / ' pATE ISSUED tj, / I 03
CONTRACTOR J1)7JeO~/A/ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPA'RATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
-----
- --
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL (jVL..
PLUMBING ~ . L I (g ler-{
HEATING (if required) ~. II/~M
FIREPLACE ~ Ili /p telL(
GAS LINE AIR TEST ~ q .')./I,te;3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
w/e-
LA A_
~
t I ~fflLf
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FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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f/JI(!." f L{ -, . cJ<-1
,t/1/r L{r(, -(/(,(
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.
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE 'i~.()'I
INSPECTION NOTICE SCHEI)ULED
ADDRESS 145)0 (J( f.)~ 0/,;- ~
OWNER CONTR.
PHONE NO. PERMIT NO. "J -IILI
,
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULA TION ~ l-t o SEWER HOOKUP o FIREPLACE FINAL
Jr FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINJI~L 0
COMMENTS:
-------
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--------
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WVf;;;)PL FOR REINSPECTION BEFORE COVERING
Inspector: -I-ftI' Owne~r/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
l/VSNon