HomeMy WebLinkAboutBuilding Permit 03-1589
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/Z./c"o:J
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I. White File
2. Pink City
3. Yellow Applicant
(Please type or print and siJitll at bottom)
. ADDRESS
3/70 :5J-1c,d 'f Co t/e,
~v
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) ~rotJ K l-trttl tltJK-
burof d
PERMIT NO. aJ./587
ZONING (office use)
J'C,,1.f 0
PID2537/. 02..1--, {)
(Contact Name)
(Phone) 651-~-7/9 (
(Phone)
SS3' e-(
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 upo!l the property to perform needed inspections.
l;u~JD J,~-c._~y
x~.
. Signature
(Address) 271t:? w~<lrdb~ ~/t/r(
I'YlOv"V rl
1'}4/
TYPE OF WORK
ODeck
o Porch
ORe-Roofing
o New Construction
'j..Lower Level Finish
o Addition
o Alteration
o Fireplace
o Misc.
PROJECT COST IV ALUE (excluding land) $
Contractor's License No.
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical PCJ.1Uit Fee
?V:75'
Park Support Fee
SAC
$
$
$
$
$
$
$
$
J.Sb
Water Meter Size 5/8"; I";
Pressure Reducer
4-0.00
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
4-0. 00
This Application Becomes Your Building Permit When Approved
Paid /S7L.2 S-
Date /?- ,/(, .0;>
Building Official
Date
ORe-Siding
OUtility Connection
1:2-16~
Date
# $
# $
$
$
# $
# $
$
$
$ /5(,. 7.f:)
ReceiP(Aoo ~7':-
BO~'
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
~
HEARTH&HOME
technologies
January 29, 2004
Mr. Pat Simon
Fireside Hearth and Home
Subject:
Installation at 3170 Shady Cove Point
Prior Lake, MN 55372
Dear Mr. Simon,
I have reviewed your installation and it is acceptable to place a cabinet top over a Heat-
N-Glo model Pier-HV without additional support. The unit is capable of supporting 300
pounds before additional support is needed. If you have any further questions please feel
free to contact me.
--
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3/70 ~K ~~ ,47 ·
NATURE OF WORK L
USE OF BUILDIN~~
PERMIT NO. Q;L ATE ISSUED ~
CONTRACTOR ~ PHONE. 7191
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUIJ.DlNG AND INSPECTION
1NSPE,-.,wR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
PI
l
/
/
J
/
1- /-y
,(
.
FINALS
BUILDING
ELECTRICAL
PLUMBING ~~ ~
HEATING
DO NOT OCCUpy
t1/'f
s:- U'vcP!
!~ ~~'~$~/
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 TIlle
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~;"'-I-C/Y
. /
ADDRESS
J/70 ~4Jdv ~ rpr
I'
CONTR.
OWNER
PHONE NO.
PERMIT NO.
3-/~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.Ji!FIHAL
[] SITE INSPECTION
o PLUMBING RI
[] MECH RI
o WATER HOOKUP
[] SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
[] FIREPLACE Rl
[] FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
------ ,-~ ~
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/ / /~ r;~ I
I ( ./ { U)C I
I '--""'" /
\ /'
" ~
'---- ~
rRK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~/'fiWFOR REINSPECTION BEFORE COVERING
Inspector: -Jf-II-{' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INS1IOn