HomeMy WebLinkAboutBuilding Permit 03-0417
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
'blo3Q LVDNS AV5 Sf:
PIGIOI2.~ LAKE
MIV S537.~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT tj BLOCK J ADDITION
OWNER
(N ame)
R.OfEJ!.r (' B4R-P~ DUERKDP
SalY1e~
(Address)
BUILDER
(N ame)
(Contact Name)
(Address)
TYPE OF WORK
D Misc.
(Phone)
(Phone)
(Phone)
o New Construction
~eck
o Fireplace
ORe-Roofing
o Alteration
Date Rec' d
+ -(0 ~03
PERMIT NO. OS -04/1
PID
Q5'J.. 447 I n ~
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 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
enter upon the property to perform needed inspections.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing PCllUit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o Porch
o Addition
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
Signature
Contractor's License No.
$
$
$
$
$
$
$
$
1J;do~
g-~ J.S
S4.If
/ IS-O
\Vater Meter Size 5/8"; I";
Pressure Reducer
Park Support Fee
SAC
City SAC and WAC
\Vater Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
IJtf tiLt
4~() *'07
/
Thi:1:jtiO~j~es Your Building Permit When A. pproved
(/Ilfrl f/~ 4-/o.():]
Building Official Date
Date
# $
# $
$
$
# $
# $
$
$
$ is ~ ,8'
Jz.
Receip o. ~C/V U
By <' ~ ~
()
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 cnrner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
Willed t/Pt 01-{;:;:.. 4-( IJ .(j J. fh. J /kdc he.....;}, ,rr
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
ECORD
~#l; A~& -[6.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
PERMIT NO. --'J3-~
BUILDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING /11ff' ~-L'I rftJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
-~
FINAL
v~
l, -)~ ~O'1
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
',,-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/~~ 3f L'forU ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION 1'1 ~ "
~AL t/--(~r
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
.------- -
// /
/ / I()L~
( (~.{ v-=X-
\ -
~
--~
----
DATE TIME
4-21~(l
~ -4/7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
---.
'~
0-7 . ')
J,-.II A
l ,-
/
~
~ORK SATISFACTORY, PROCEED
JZf CORRECT ACTION AND PROCEED
o CORRECT WO,R~~OI~ REINSPECTION BEFORE COVERING
Inspector. -IJ/ f./ Owner/Contr:
I
CALL 447-9850 FOR THE: NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ c?i
L"l/ J/I.$
{
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:
0-[' (jr
1/-(/ .-h J
I
DATE TIME
4 -( ?If
~
7- 4t /
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
... J (1,,; /J (
/
t ~/l. V', l., I 10.
, I
J
.3, I ?$J" . J
--.J '
.i
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK'7fLL ~OR R:~IN~~TION BEFORE COVERING
l () flrl L. L{" (j )
Inspector: -JL-LL' . - _ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!