HomeMy WebLinkAboutBuilding Permit 03-1133
(Please tvee or print and sign at bottom)
ADDRESS
\S~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LOT \
BLOCK I
LEGAL DESCRIPTION (office use only)
ADDITION
~Qac. ~ ~
Q01 dCllcc ~ V\d Mt~~
~"'^ Y\ "i\
1~"2..,-S-~
'S.e ( +-
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
) State Surcharge
I Penalty
j Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I
?{
tnvnl
~ 1f\Q~~1
o New Construction
DLower Level Finish
)8beck
o Fireplace
Date Rec'd
8,2.-{o.0)'
~i~:' ~::, I PERMn NU. /l?_ I/'-:>J
Yellow Applicant ~ . ...J
\2~
I ZONING (office u,,)
....
Gas Fireplace Permit Fpe
riA. ,. I I
This AP{OJ BfJ~=~?;t;ed
Js~ding O~ __) 'Date'
Z5: .34i3. 0(//.0
~f1 41 L~~ c;
Q +- R-J.
4~'::"
(Phone) q ~ I. q 7 7 l/-
t~ q>Z. 2/0. eOd4-
(Phone)
(Phone)
DPorch
ORe-Roofing
ORe-Siding
DAddition
DAlteration
DUtility Connection
PROJECT COST IV ALUE (excluding land) $
Contractor's License No.
9! 2;f/ r'l \
$
$
$
$
$
$
$
$
'"t..C>O ...
~.8')
Z-"f. 1"'5'
-Coo
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$ 14f.6o
1:r<'<jZhO
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid '74-..v-U
Date ~ Z/'7. 0 l'
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
~,
White .. Building
Canary .. Engineering
Pink .. Planning
The ern If. "f lh..l..k.. COUnll').
BUILDING PERMIT APPLICATION DEPARTMENT CI"U;;CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
136Vt--6S, K6/VN
g. Z-0. 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15358 If /Ue 2:t/ PI, ,aJ
f
V
Accepted
Accepted With Corrections
Denied
f!J~r
{2(AD D~?- ~
Date:
8/~i ~
f
Reviewed By:
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
..
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RE RD
SITE ADDRESS /.5.. ", ,. Ii!D.
TYPE OF WORK /)6, _ ~
USE OF BUILDING 'I<...
PERMIT NO. - ATE ISSUED ~
BUILDER LE:s PHONE # t1!!SZ.Z/~. i<<>4-
NOTE: THIS IS NO A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
.1 FRAMING I f/I/V/ I ?-f -/ >, "'1.
I FINAL
/fC4
-' ,-
r/2c/cy
FOR ALL INSPECTIONS (952) 447-9850
tMI'ME
t .
/S"'-?Sty ⅇy // d
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~s-//'E
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: /J / ..-f /
~c ft: h/-?'~
r'i/
(/ Ie
~~
/ ~ '\~
/ ,/'"" / ,,< "/ )
'{ (c6-e /7 /e /
~ --
~RK SATISFACTORY, PROCEED
~;~RRECT ACTION AND PROCEED
o CORRECT WO'}l7mYOR REINSPECTION BEFORE COVERING
Inspector: / I"~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IJIiSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH I< SAFETY!