HomeMy WebLinkAboutBuilding Permit 03-0180
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please.!VD~ or urint and sign at bottom)
ADDRESS
(Os14
I.White File
2 Pink City
3. Yellow Applicant
I PERMIT NO. ()S - 0 I&'? I
(Phone) 9'5: z- &:;if? -/&(03
/vf.Aj 5;~~7Z
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WI Lb ~'i!::, I V11'\-{;e..
LEGAL DESCRIPTION (oflice use only)
lO \ \Nll-b 04~
LOT BLOCK ADDITION
OWNER I III --
(Name) M-t Cll <)(
~ -::> .
(Address) \ . 0, .1::O,.t
~L.wS: -~(
4$0 ~(~~
L~_
BUILDER
(Name)
(Contact Name)
(Address)
~Lt<L
(Phone)
(Phone)
TYPE OF WORK
o New Construction
~er Level Finish
ODed<
DPorch
ORe-Roofing
o Fireplace
OAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $ J 0/ 00 f
o Misc.
..3 ~J
PID
Date Rec'd
Z ~/9~ 03
ZONING (office use)
ORe-Siding
DUtility Connection
e ed nformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
ov -men . oed property and that all construction will conform to all existing state and local laws and will proceed in accordance with
. that e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
erform eeded inspections.
I Permit Valuation
I Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
I Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permitfee $ 4d. Q'l)
t~J-.... I
This L ti B;c~=:tt~ved
But,di g Ofli~ ) /D[~
'-.... /
This is to certify that the request in~cation 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.
x
Contractor's License No.
3,000.00
7</. 7S-
I Park Support Fee
I SAC
Water Meter Size 5/8"; 1";
/. S-O
Pressure Reducer
4-d.OO
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTALDUEjVlu.. p/V
Paid
Date
/STd .ZS-
2 -U' -(/$
Planning Director
#
#
#
#
2-20-03
Receip,J;l o.
By -t;--.,
cJ
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
Date
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I
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$/5t-.ZS I
$
$
$
$
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PRIOR LAKE
INSPECTION RECORD
(~74- WILD QI9t:S TE.e~I1e&
NATURE OF WORK L.OWF;Je... L-EVFL-
USE OF BUILDING Ef --S~ /9 / ~
PERMIT NO. QS-Q Iyj 0 DATE ISSUED 2- -19- 0.3
CONTRACTOR HII_L-~f /-1'oMf::;..s PHONE f3C16 . 7Ct>&3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING '5'~ L!2- t /03
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) 5 Us- '2-{.2A t"'3
FIREPLACE ~ t4- ~J7..-l /61.3
GAS LINE AIR TEST -?-\.k ;ytU>/o3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/1/11 -2p6k-
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved, On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE LJ /-/ /... f
INSPECTION NOTICE SCHEDULED~-
h~?7r/ [Myel a.-6 7;p
ADDRESS
OWNER
CONTR.
PHONE NO,
PERMIT NO,
0.1- /,f<1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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RORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CA~l}?REINSPECTION BEFORE COVERING
Inspector: /fr1 ~ Owner/Contr.
v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETYI
INSIWTl