HomeMy WebLinkAboutBuilding Permit 03-1284
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CO'NNECTION PERMIT
9 23.03
'!z -34--
(Please type or print and si811 at bottom)
ADDRESS
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/4'/8/
I. White File
2. Pink City
3. Yellow Applicant
~
LEGAL DESCRIPTION (office use only)
LOT 2- BLOCK f- ADDITION S /f?V ..t::J ~ 7~
OWNER
(N ame)
~1Y
)1rr~J:t K --O~.M~1
~ (l.AAJDL';'WOO 1\ hlrJJl:JJE
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
~ower Level Finish
13/f7ll ~()O~
o Misc.
Date Rec' d
PERMIT NO. as -I z f;4-'
ZONING (office use)
yUO
PID ~ 2-/5. (fiip K ()
(Phone) C[5J. - ;;.~ 3- ~ I (j f5
? f.:r6f?. L/J.-t.tj M tJ 5 ~ 3':J"
(Phone)
(Phone)
ODeck
o Porch
OAddition
ORe-Roofing
o Fireplace
o Alteration
PROJECT COST /V ALUE (excluding land) $
ORe-Siding
OUtility Connection
I hereby certify that I ve 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 fi th above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. am ware that uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the p opeItYi to p rfo e d'
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/
Permit Valuation I, (J 0 O. (J (J
Permit Fee $ 34. 7~
Plan Check Fee $ --
State Surcharge $ . !:>(J
Penalty $
Plumbing Permit Fee $ 10. 0 ()
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Official
Date
Contractor's License No.
Park Support Fee
SAC
'N'aterMeter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
'N'ater Tower Fee
I Builder's Deposit
Other
TOTAL DUE
Paid 7 5.. zr-
Date f 2J.()_J
1/ ?: I ;;too3
# $
# $
$
$
# $
# $
$
$
$ 7S Zb
,
I
8~O' ~Z7
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
t
INSPECTION RECORD
SITE ADDRESS I ~/ e / ~/;JU NtJO.o L.AJ.
NATURE OF WORK t- owe ~~ u6Yf::-,v PR77/ RAO;--1
USE OF BUILDING ~-.J. /11'/0
PERMIT NO. t:J3 - / ~4---' / DATE ISSUED Cf Z3. oJ
CONTRACTOR /U/e,/v1bV PHONE "?3s. 7_/W
NOTE: THIS IS NOT A PERMITFOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
~
r-1U.1 lfl'I~Jl..l . I 1 I_III.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
"
FRAMING
INSULATION
ELECTRICAL
PLUMBING
~~
fj} tStDw3
~
LN/c-- 4'l1-
~~, .~/t':-ltOt3D
to {'?CJ 1&3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
V/J
t./-~?
BUILDING
ELECTRICAL
PLUMBING
,...._.. _w.... _ _ ~
DO NOT
\!
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS _ ~.-.B \.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
l. QcJk.C,~
~t<
DATE TIME
SCHEDULED q -2..~-tJf
(\~~
CONTR.
PERMIT NO.
"1-\'2 sc.f
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~~l(
\
-b
o " (-)
QW" ~- \.., ~
o WORK SATISFACTORY. PROCEED
AORRECT A TION AND P~OCEED
o CORRE WO K. CALL FOR REINSPECTION BEFORE COVERING
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
/NSNOn