HomeMy WebLinkAboutBuilding Permit 03-0338
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
~ ~ 2+-03
~i~:' ~:;y I PERMIT NO. /)7 _O,?7G I
Yellow Applicant V-.J :-J"':> V
(Please .!VP~ or print and sign at bottom)
ADDRESS ZONING (office u,,)
\[~~Lf. DlU../+-;<..LS, J)r. ~~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
l! \' e-l"l + '6 (l.-'-UL bD r;:;\M: c 7-
\1 ~Lj4 DL<Lv-t-tJ.c-'.. \'Jr. ~E
(Phone)
~S"l- '--fLh- L..~-n.
OWNER
(Name)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
o Misc.
o New Construction
~wer Level Finish
lIP"
DPorch
ORe-Roofing
ORe-Siding
TYPE OF WORK
D Fireplace
DAddition
DAlteration
DUtility Connection
PROJECT COST IV ALUE (excluding land) $
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
;ter up~p~ope~~ :e~ded ~~ections /
D'J.- Signature ~ Contractor's License No. Date
~
I Permit Valuation 3.000.0U I Park Support Fee # $
I Permit Fee $ 7<( 7~ I SAC # $
I Plan Check Fee $ - I Water Meter Size 5/8"; 1"; $
I State Surcharge $ /. s-o I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ /It). 0 () I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
\ Sewer & Water Permit Fee $ I Other e:LG-~ tYt- '- $ 1.00
I Gas Fireplace Permit Fee $ I TOTAL DUE $ //7. zs-"
I
/)
Paid //7. z...5 I Rec~o. "'.37~b
Date 3-Z4--d? I By .
0
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. e-(Q.d 1h.r.
Planning Director
(()Ip", l-twl
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
!-J-.dtltJT
PRIOR LAKE
INSPECTION RECORD
/-t.
DEPARTMENT OF
BU\L-OING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO.
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE IN SPEC
THE PERMIT IS BY SEPARATE DOCUMENT
.
INSPECTOR
DATE
I J
I I j
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
11/1(./
//W/
IL -{ ()-(jJ.
1l--/fJ-d)
/I/P'
/1/Y/
,t'(f) rA
{J..- /1)-rl'-7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I J
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/%~
~hS/~7
,?b2/<X/
,
~/>>~s/
if~/cx(
SIGNED
#O!/
~
OCCUpy UNTIL ABOVE HAS BEEN
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
SCHEDULED ~~~~
&erhi ;d~ 4-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/;&..y.y
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
.,.Jil-MECH FINAL
COMMEN~: ./ ~ ~
~~/7h2-~/ /7/."",/ ~~
h~~)~= /~/
,/ '.-
~d, h"h., /
~ /
/-;t h.c; /
/'
~~
,
&-<Uy
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
? ,
S~.z./J
. ~ .
G)~
~~
...~."'~
~--'~""-'"
( ",/ /' / '
(' '/o:se ~ /<12 /
Ji"'WOR~ORY. PROCEED ~
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F R REINSPECTION BEFORE COVERING
Inspedor:
Owner/Contr:
CALL 447-9850 FOR THI'; NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!