HomeMy WebLinkAboutBuilding Permit 03-0777
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
c" . 13'_ 03
(Please.!.VD~ or orint and sign at bottom)
ADDRESS
30& 0 fC/'/O L- (...-/</1(/ tV;
~;::< ~:~y I PERMIT NO. n? 07, -7 I
Yellow Applicant U'->-,
01<. /J h/
LEGAL DESCRIPTION (office use only)
LOT.5 BLOCK;2 ADDITION jilOKP-l1vtJl/O Mq
OWNER
(Name)
Ke-lkl Ol~i)f\
I
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
, TYPE OF WORK
o New Construction
DLower Level Finish
o Misc.
Iff
(Phone)
(Phone)
(Phone)
~eCk
DPorch
DAddition
ORe-Roofing
o Fireplace
DAlteration
PROJECT COST IV ALUE (excluding land) $
I ZONINGCofl"'"<<J I
PID ~ -..?(d) - 000 - 0
q~."l .l~l..
Yl'ri
ORe-Siding
Dutility Connection
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 a mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
su itted plans. I a t the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:rp;nt);e 0 rL~'\\r;~ections rol'3/D3
~:J \ Contractor's License No. Date
I Permit Valuation
I Permit Fee \
I Plan Check Fee --.."
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Firepl~ Permit Ifee
1/ . I /1
This A ca . n r cJur Building Permit When Approved
/ -.".,
/\
~
$
$
$
$
$
$
$
$
5l:AO_~
23..::JO
15.27
~-V
Date
Park Support Fee
SAC
I Water Meter Size 5/8"; 1 ";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid 39. 2-7
Date {~ /3 OJ'
# $ I
# $ ~ I
$ I
$ ~
# $ I
# $ I
$ I
$ I
$39.2- 7 I
/7 ,
ReceiJ?No. ~# I
Bv r ../.--.
()
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 ~3{)(;:;; 0 Oil OL-UR-; 046 Ole IV V\./
TYPE OF WORK .D~ (hz/ON. 7lJ CJCI.S"Tl Nu)
USE OF BUILDING -.eCS /1/~ '
PERMIT NO. . (j.:i'-077, DATE ISSUED 0-13.03
BUILDER /LELo./ OLSOA / PHONE # 2-2.0. 4-CJ94-
NOTE: THIS IS NOTA PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INspECTOR DATE
r FOOTING I /l~ I 6:- If
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
, FRAMING I I
r FINAL
G3
/-27~
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 SCHEDULED (,~o-n3
ADDRESS '&a..t
.
OWNER CONTR.
PHONE NO. PERMIT NO. ~ 7.,. Cf17
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
D FOUNDATION L D MEcH RI D cOMPLAINT
~FRAMING ~ o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
n..~k wo..... ('~i'~h-,-\... kwC,-....
T......... _ . 'T"""""('.
o
L GJQ ~...~ ~ i\i\~I(),
t
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
P< CORRE~CK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL 7 5~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~REMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 2tJ!..rI1 K '^L' a t-ttJL"
OWNER - CONTR. 0 -
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATk
FINAL
o SITE INS I
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~~., (\~, o~ I
~
TIME
S - P-'7
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,If WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREt:5.ALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CAL \; %50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSllOTI