HomeMy WebLinkAboutBuilding Permit 03-1325
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(0. 1_ 03
; ~;~:' ~::y I PERMIT NO. ^? .. /7"7 r- I
3. Yellow Applicant ()....J /....J G;..:::;J
(Please'!vpe or print and sign. at bottom)
I ADDRESS
2.3 7 to .J7V fi/E.- r!/~r ;:7/1771
/l/W
LEGAL DESCRIPTION (office use only)
LOT5ZBLOCK / ADDITION /1t/700W l/18vJ
OWNER
(Name)
ZONING (office use)
Ie 7-
PID 253&4-. OS2... 0
LV IV /116 J'C--lt/suJ
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
o f1I Aloe.-
TYPE OF WORK
o Mise,
(Phone)
(Phone)
o New Construction
~Ck
D Fireplace
DAlteration
2.33 - cJ4-<l!J
ORe,Siding
DUtility Connection
I hereby certifY that I have furnisbe 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- n ooed 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 a e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to fo needed i~ctions.
X t9.~/--- 10-I () J
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
OPorch
ORe,Roofing
DLower Level Finish
DAddition
PROJECT COST/VALUE (excJudingland) $
$
$
$
$
$
$
$
$
~.;2.00(), 00
{:,tt, Z. <:;
4S.o I
(,DO
I Water Meter Size 5/8"; 1 ";
I Pressure Reducer
City SAC and WAC
Water Tower Fee
#
#
Park Support Fee
SAC
#
#
I Builder's Deposit
I Other
I TOTAL DUE
$
$
$
$
$
$
$
$
$ //5, zro
This Application Becomes Your Building Permit When Approved
~ ~.e.e.&J+-- /~/I/o3
Building Official Date
//S-' l.{p
/tJ /. iJ 7
I Receipt ~J'f, ~fh.J 7
I Bv ;/'/G
!!
I Paid
I Date
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 DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 7. '?7 fa 0 /U/VE:f!/~ ;://l7H
TYPE OF WORK PeT'./C-
USE OF BUILDING /tEJ ~
PERMIT NO. 03 -137~6 DATE ISSUED 10. l 03
BUILDER J I-JvJE;lJ PHONE # zV - a "'If.:)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING 3~Pr~ 7-'i" ~d ~~ I taltt/f)3 I,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I l
'FINAL f1f I 2k /~o l
I ~
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS -;2) ~ fJ"v. t
OWNER
CONTR,
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
I
f".{~D
V\ '-"''' -
~t~
OA TE TIME
,-/8/6'
I
) /-/0-
,
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,
~ WORK SATISFACTORY, PROCEED
o CORRETJT A AND PROCEED
o CORREC CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1 Owner/Contr:
CALL~7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!