HomeMy WebLinkAboutBuilding Permit 03-1155
(J/- t-/ .J'
(Please type or orint and sien at bottom)
ADDRESS
/fLO 7CJ
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
;./ tl /q7-ff1l (70 t:J
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05-1/55
,ev
LEGAL DESCRIPTION (office use only)
LOT Z-BLOCK "5 ADDITION jIItJ.e:17fWt:flJp dl'11V v~ / JF
OWNER
(Name)
~~Jv
I
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
,
,a
o Misc.
&,r
o New Construction
~eck
o Fireplace
Date Rec'd
$ z 1~O ]
ZONING (office use)
/C/.IO
PID -z..,J -:- 3" (J. tJ I.r. 0
(Phone) !J5Z-. t{<lO. 1//'12-.
(Phone)
(Phone)
DPorch
ORe-Roofing
OAlteration
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 ovroer 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
;teru7?~::.;,~perf~:ections g /21/03
Signature Contractor's License No. bate
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
1 Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
OAddition
$
$
$
$
$
$
$
$
3:cm <'IV 1
g-~ ~ -I
S4!.1 .1
I ~O .1
I
I
This APPllti1 Bi!1~ Your Building Permit When Approved
Jlflt/I, ,~ f;~p1r~
Building Official Date
$
$
$
$
$
$
$
$
$ /.313. 'b(P
I ,
I ~~c~W[ 45Z-~1
'/
Park Support Fee
SAC
#
#
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
Water Meter Size 5/8"; I";
I Pressure Reducer
1 City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid /:5 EP_ f::;&
Date fi. ?.-I/, (I J
#
#
1h. Dr(j( &..dIJl,-l
Date Special Conditions. if any
24 hour nntice for all inspections (952) 447-98S0, fax (9S2) 447-424S
16200 Eagle Creek Avenue Prior Lake, MN 55372
fl.,.Qd
"
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /1/;070 IiIOtfA'7/NOOLJ eo
TYPE OF WORK 17~eK-.
USE OF BUILDING #hS rrj/Z..-
PERMIT NO. 1)3. 1/5CJ DATE ISSUED 6.29. ~r
BUILDER MI/G.. PHONE# ~ 4-197
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING I 111/1 /' I flY q -r/'o;, I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,~ I I 1
v (
1 I
I fj2:l/0~
/ /
, FINAL
hh
FOR ALL INSPECTIONS (952) 447.9850
"
DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS 1lK>1O tJtl~~ ~
OWNER CONTR.
PHONE NO. PERMIT NO. 3-tf~
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION l.. o SEWER HOOKUP o FIREPLACE FINAL
94INAL ~ ,. , o PLUMBING FINAL o GASLINE AIR TST
o SITE INS ECTION o MECH FINAL 0
COMMENTS:
~.\ l1l""~
/'
~RK SATISFACTORY, PROCEED
o CORRECT CTlON AND PROCEED
o CO K, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
C 7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIWn