HomeMy WebLinkAboutBuilding Permit 03-0229
(please type or print and sign at bottom)
ADDRESS
3~/?--
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFI!CAIE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
6,L.-y N' 11/ /1- ~7e-
1. White File
2. Pink City
3. Yellow Applicant
, / /U'f"1 t..---
LEGAL DESCRIPTION (office use only)
LOT3/BLOCK 2 ADDITION 6t-V/VWR-1eK- J..
,
OWNER
(Name)
(Address)
BUILDER S
~~~).~ TEvEb!
,(fQbutact: Name)
4Address)
TYPE OF WORK
o Misc.
L.
WELTY
,
(Phone)
(phone)
(Phone)
ODedk
o Porch
OAddition
ORe-Roofing
o Alteration
Date Rec' d
2'2.6-03
PERMIT NO. ();g .-'()Zzq
.,
ZONING (office use)
re, 7-
PID~-3SZ. -00'2,-0
y 52 ;<:1h ~ f?tJ-I
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 :c:.~ ca;t'relthiS permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teruPO~~"~ W~/c?3
, Signature ; Contractor's License No. {r ~te
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing P.:.uuit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
o New Construction
Xower Level Finish
/ j!,()()'1
PROJECTCOSTIVALUE (excludingland) $
o Fireplace
/"00,00
$ -3 ~. 7S-
$
$ .g;
$
$
$
$
Gas Fireplace Permit Fer to $
~)~^ttnU#3
Building d~ .. ~ate I
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid :351 z",r
Date z,.. -z, ~--~J
# $
# $
$
$
# $
# $
$
$
$ ...3 S. ZS
/7
Receip~ o. +::J'9Z 'f
. 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 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 tor all inspections (952) 447-985(), tax (95i) 441-4i45
16200 Eagle Creek Avenue Prior Lake, MN 55372
...- "--.
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 34/4- GL-A/NWA /6~ 'IIG/J/L
NATURE OF WORK UJ W~ ' I>WI;:/ ~ ( OL1LE" ~)
USE OF BUILDING I2Gf /7-/ IP "-
PERMIT NO. /l?- 0Z-2-9 / DATE ISSUED 2.. 28 .{l3
CONTRACTOR W15t~'"DL SI hVe/V PHONE ZZ(p - 2~4-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARIATE DOCUMENT
INSPECTOR
DATE
~
_1_....._
PLACE NO CONCRETE UN!TIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.-J ----
FRAMING .~ W:(cr,. /83
,
, INSULATION ~ 3 {to teJ3
" ELECTRICAL ~
"
HEATING (if required) ~ 7,t~to3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
(/b
(
~
q - tf,
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NiOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On building. and addition.
where no service cabinet Is available, card shall be placed near main entrance.
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
DATE
t./.. UJ,-(J t/
l
nilE
ADDRESS 3<<-11"1 ~~
OWNER CONTR.
PHONE NO.
PERMIT NO.
J -0:2. 4.f
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Cl EXlGRADlFILUNG
Cl COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
"'"
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORErtfORK' CALL FOR REINSPECTION BEFORE COVERING
Inspect. ( :/) Owner/Contr:
CA~ ~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
lNSNOTI