HomeMy WebLinkAboutBuilding Permit 03-1071
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
8. /3.03
; ~i~~' ~:~y I PERMIT NO. 0.3- /07/
J. Yellow Applicant
(Please tvoe or 'Orint and sim at bottom)
I ADDRESS 5230
~ Co.~Jy
ZONING (office use)
C out. I re.,.J
LEGAL DESCRIPTION (office use ooly)
LOT
BLOCK
ADDITION
PID
~':'~R ~~\ \ \ \~, c..__~~
(Address) S.J 20 C<U'1.JI/ [-u... -r...... J
BUILDER I n
(Name', C,e..., I'i e.sQ ot\Se
(Contact Name) ~'I-I. . ~/e..
(Address) '1<;{O 11. 'K-/....,. Ai.) e.
(Phone) C(r).-tjLJ7- '1~&N
P""Of' LJcc 1t1"l SS 37 'J.
Sf- nul
(Phone) _~.51.' LJI. .3 yt:1Ji
(Phone) 1.at:;1- 75.5 -S.aAS
111", S510'g
TYPE OF WORK
D New Construction
ODeck
DPorch
ORe-Roofing
ORe-Siding
. I I _ OtowerLev~I~1~Jc~{;.ept4 FI.SA~~:O&J'QQ...OAslteraOtiOn !of
I16.Misc.1efI4lCL WQ"" GI_"cd PROJE.'crdSST/VALUE (exdudiogland) $ IJ{I
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
sUbnu;Otte laf1ffa 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 up p to perform needed inspections.
X J OJ 11-"104 ~-/'-O~
Signature Contractor's License No. Date
Dutility Connection
I Permit Valuation $000,"'- I I Park Support Fee # $
I Permit Fee $ III. ;:}S' I I SAC # $
I Plan Check Fee $ '1:),3/ I I Water Meter Size 5/8"; I"; $
I State Surcharge $ ;:).sCJ I 1 Pressure Reducer $
I Penalty $ I I City SAC and WAC # $
I Plumbing Permit Fee $ I I Water Tower Fee # $
I Mechanical Permit Fee $ 1 \ Builder's Deposit $ 1
I Sewer & Water Permit Fee $ I Other $ 1
I Gas Fireplace Permit Fee $ I TOTAL DUE $ /p~ ,00 1
.'
This Application Becomes Your Building Permit When Approved I Paid /ffy.00 I ~~ce60o. 452. z,J
~:::Wo<;iffici~ ?jJ!!03 I Date 9,1J. (J 7
()
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 :223 0' (!AIVOV ~(/6 T/2.4/t-
TYPE OF WORK ;U;Pr; / IZ- .
USE OF BUILDING /21:3 ;:I/,c...
PERMIT NO. OJ' -1071 'DATE ISSUED 6, t:l QJ
-
BUILDER fA J;JW If:.6.J PtJ tJ.It::-- PHONE # {, 5/. ~4-(" 54-eJ
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
~ ':'_...11 ..sr/c:E.T~~ I 4-- I b;/UV08
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I V' un. T I I
I FINAL
FOR ALL INSPECTIONS (952) 447-9850
" .n_"__,._______~,__..__~______
- . . .'..' --- __ _.___m_._..,______~___
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
s:230
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
JI"1'fNAL
o SITE INSPECTION
COMMENTS:
/"/
7a6
OJ. TE TIllE
SCHEDULED /~~,-
/ I #;
(;;,c7 ~G/e fr"1 ~I 'I
CONTR.
PERMIT NO.
C'J"5-/0?/
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 GASLINE AIR TST
o
./7 / /
G::z.- ,rJ / e- tc-
f
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~
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( {~ke
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~~ATISFACTORY. PROCEE:-
o CORRECT ACTION AND PROCEED
o CORRECT WO~K2"~EINSPECTION BEFORE COVERING
Inspector: /~ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSllOrl