HomeMy WebLinkAboutBuilding Permit 03-0476
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
L White File
2. Pink City
3. Yellow Applicant
Date Rec' d
/f-Z5 -()J
I PERMIT NO. 63-6..;7hl
(lz -5fi3
q'lease ~ or 'Orint and siRll at bottom)
ADDRESS
/4'-~Z-7 OHStu:tJ7Ha WtClLf
A/W
LEGAL DESCRIPTION (office use only)
LOT2.5BLOCK / ADDITION l"767'9t1tJWVI6"W
OWNER
(Name)
(Address)
ZONING (office use)
K.2-
PID 25 <~g+ -(j2S -0
(Phone)
--BUILDER ///,1_' . A.
.-(Name) V lacw h1lr k17r!/t.<<~
.-'ContactName) ,~kjfey ~~
(/ V
(Address)
TYPE OF WORK
o Misc.
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
-(Phone) f'5".2-02 :3:3- 5blliJ
(PhOne~/.,t- c2.3dl-? 7 -.:3.3
D New Construction
~O;~~iSh
oDeck
oPorch
oAddition
oRe.Roofing
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 loca11aw~d 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"'th( city official or a designee may
enter upon the Y. ~Y_' ~J to perform needed inspections.
~~~
- Uignature
o Fireplace
DAlteration
PROJECTCOST/VALUE (exc1udingland) $
Contractor's License No.
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
Water Meter Size 5/8"; 1 ";
Pressure Reducer
#
#
7".. 7~-
-
/. SV
#
City SAC aud WAC
I Water Tower Fee
I Builder's Deposit
I Other ~ cn:4 tYr t---
I TOTAL DUE
4-(j. 00
#
This Application Becomes Your Building Pennit When Approved
I Paid
I Date
11..7. ~5
~. ZS 07
I ReceiP~.
Bv 2f..'~
U
Building Official
Date
ORe-Siding
Dutility Connection
t7.y#67~
Date
./
$
$
$
$
$
$
$
$ I. b 0
$ 1/7. zs-
.-H'7. z...5
This is to certify that the request in the above application and a_~"'''_'J:'.g 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, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
1ZL wl9V
,
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING _
PERMIT NO. E ISSUED --.. :~ D;;6
CONTRACTOR PHONE ___a iJi!'LZ-
NOTE: THIS IS NOT A P RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
IL__m_ I I
I I J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
T
,
.
rill
I
*
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
f/I/~ 1
/
I /
I ?'
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service catlinet 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.
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
7--/
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
)
ADDRESS \ q~ '? --,
OWNER
PHONE NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
~INAL
D SITE INSPECTION
DATE TIllE
SCHEDULED 7 -'7 I
(\~ \\~y;h
CONTR.
PERMIT NO. '"3' l/ 7 b
D PLUMBING RJ
D MECH RJ
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING ANAL
D MECH FINAL
D EXIGRADlFIUING
D COMPLAINT
D FIREPLACE RJ
D FIREPLACE FINAL
D GASLINE AIR TST
D
COMMENTS:
I . 'P.t-".\... StW+ f.q.J.c.. vwL- Sk'f
D WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
D CORREIT , CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Conlr:
CAL 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
--/"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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