HomeMy WebLinkAboutBuilding Permit 03-0742
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
t, . 9.o~
; 'i;~:' ~::y I PERMIT NO. /) <--0 "iA-'7 I
3. Yellow Applicant UJ I~~
(Please type or print and sign at bottom)
ADDRESS
Z88!
p ~fft!A-?' -pe.;n~
I I
ZONING (office use)
,e..(
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID zs- - .3J'c.- 66Z-o
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) IN:5"/IJIIEDtZ.i'.fl[)J,v(..
(Contact Name) ~rMt'y L""brM/
(Address) 51'1 j::,,:5/ .51r~(T
<,.;/v 1(t'(I..'>
(Phone)
(Phone)
('~i-ijt"j 7533
TYPE OF WORK
o New Construction
h';M;~ Tn YI
~eck DPorch
o Fireplace DAddition
"r7,.,
s-:;-O;?q
ORe-Roofing
ORe-Siding
DLowef Level Finish
DAlteration
DUtility Connection
DMisc.
PROJECTCOST/VALUE (excluding land) $
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
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 U7fon the operty to p. ~#ded inspections.
X ~/7 '~"h_' 06 "'i -03
, /' Signature Contractor's License No. Date
Permit Valuation I R2c<!JO.o t) I Park Support Fee # $
I $ 1/1. Z S I SAC # $
$ #5.01 I Water Meter Size 5/8"; I"; $
$ /, Do I Pressure Reducer $
$ I City SAC and WAC # $
$ I Water Tower Fee # $
$ I Builder's Deposit $
$ I Other $
$ I TOTAL DUE $ /15. 2"
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Building Official
(..19103
tate
Paid //~. 7#
Date - "" j/) .01'
/
I ReceiJ:llJ';o. ~t:(p
I Bv.4--,
rJ
This Application Becomes Your Building Permit When Approved
~~
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, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS Z-f3f?/ .60tJt!/lT ~(L-
TYPE OF WORK ~
USE OF BUILDING /e-EJ 11" /C....
PERMIT NO. 03 -6 74 Z- DATE ISSUED cP. 9- 0-3
BUILDER /Nsmta:D ~(q. SOLuT76IJ.S PHONE # {P5/. ~. 9313
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
!FOOTING lAY/e- I ~ I 7/--;./~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL
/1n
,
l
I
~_/ /
9/J"7o,/ .,
I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
~+'
~t??/ /!JoA'cc;;;L- 7/
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
OJ- 79'2
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
riTE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAsLlNE AIR TST
o
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/7 /'
( oM/);;'re.-
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,/--" K? /
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WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR'Jjc;)t;I~R REINSPECTlON BEFORE COVERING
Inspector: / f/ or, Y Owner/Contr:
,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
tNSNO"