HomeMy WebLinkAboutBuilding Permit 03-1054
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. While File
2 Pink City
3_ Yellow Applicant
I PERMIT NO. 03- 105"41
(Please .!VD~ or mint and sign. at bottom)
ADDRESS
P/h1 ~JP
<jz:1-
tv
S-o;) L/
LEGAL DESCRIPTION (office use only)
LOT ~LOCK ;{ ADDITION
~':e~R~k~~y-r
~~
g/r~
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
oDeck
ORe-Roofing
oPorch
o New Construction
Date Rec'd
I I
ZONING (office u,,)
lei
PIo;? 5""' 3 99-t/ 15 -T. ')
#
#
#
#
LjLjD -~ / 55 ~
ORe-Siding
DLower Level Finish 0 Fireplace DAddition DAlteration OUtility Connection
o Misc. jJ~ ~ ft a,~T/VALUE (excluding land) $
IF v
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
submitted plans I am are that the bUdding~ffiC1a1 c revoke tillS permit for Just cause Furthermore, I hereby agree that the CIty offiCIal or a deSignee may
enter upon the pro I1't~~ neede~ ~ectJ.o
X '1'~/ yf - 55~?5' -03
Signature j Contractor's LICense No Date
This Application Becomes Your Building Permit When Approved
r
~ffiCi?~~ ~?,;
Paid
Date
ft; l1~ <13
(,;:'....~
Q
I Permit Valuation If/OOd, 00 1 I Park Support Fee
I Pennit Fee $ 3B.75 I SAC
I Plan Check Fee $ d~ !'it I I Water Meter Size 5/8"; 1";
I State Surcharge $ .StJ I I Pressure Reducer
I Penalty $ I City SAC and WAC
I Plumbing Pennit Fee $ I Water Tower Fee
I Mechanical Permit Fee $ I Builder's Deposit
Sewer & Water Permit Fee $ I Other
Gas Fireplace Permit Fee $ I TOTAL DUE
$
$
$
$
$
$
$
$
$
6t{. 'Is
I~U'i-^11
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
PRIO,R LAKE
INSPECTION
RECORD
SITE ADDRESS ~z, L( A;,JIJ.!" nGE L.IJ.
TYPE OF WORK ~ll. / /Jdd". Ii-J 6MIl6E
USE OF BUILDING _ ~I=: D. .
PERMIT NO. D'3- /0'5 'f DATE ISSUED !fU/tJ3
BUILDER ~SG)t.T R...UPE PHONE #-H/J-~/8S
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
.- I I
PLACE NO CONCRETE UNTIL ABOVE ttAS BEEN SIGNED
FRAMING I VVY~ '(;-(147 1
/rJS'l..uAT(o,\) (~FT<3<.. Eem-; t F{l.AM-I~ Pf\'S~
AN~ I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
\
TIME
DATE
CITY OF PRIOR LAKE ? h J
INSPECTION NOTICE SCHEDULED ~}/qJ
g;,2! dniJ~che b--
V
ADDRESS
OWNER
CONTR,
PHONE NO.
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o..JlIlSULATION
)!!rFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMft!lENTl1: (..~ /
Cl-c ('tv; Cq I .}-;h~; I
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//) /
/ /}/z q
'--~-------~
-,
-/
CJ S-/OJ;?
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
.~/6~i
of
~
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-
/ /'1/ I~./
~ !():)'e rC ( e
A: ---- -
WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~.~~ REINSPECTION BEFORE COVERING
Inspecto~ P ~i _ner/Contr:
,
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
""""n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/