HomeMy WebLinkAboutBuilding Permit 03-1582
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q'lease ~ or orint and sUm at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/"2-.1 z. 03
I, White File I PERMIT NO z+.
2. Pi,k c;" . 0..1? _ /' rCl.
3. Yellow Applicant ~. ...::::J (/
/532-0 W~OO
OUe-K- ~ I ZO~~(Officeuse)
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
cg,v::.e~~t(}llYfAd-1:nvl_ bU 1UtlAill
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
;t>>f:ower Level Finish
~ ,e,t(S
o Misc.
(Phone)
(Phone)
(Phone)
ODeck
OPorch
ORe.Roofing
o Fireplace
OAddition
DAlteration
PID 2-5. 332-.0'8. 0
Cfs-:Z l(l(DL{783
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 above-mentioned y~""y"'~~J and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted p.~~rA:; aware th ilding 0 cial coo revoke this permit for just cause. Furthermore, I hereby agree that the city official or. a designee may
:ter~:0P XWo~ nee . inspe : l:;z ---12-0 ~
- - Si~1 Contractor's License No. Date-
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
PROJECTCOST/VALUE (excIudin.loodl $
$
$
$
$
$
$
$
$
2;oOO,c/D
(, l-. Z-S
---
1.00
40.00
This Application Becomes Your Building Permit When Approved
~ ~"'~;:. /;r/;~03
Building Official
Date
I Park Support Fee
I 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
I Paid /04-.2-6
I Date /"Z, /2... 173
$
$
$
$
$ I
$ I
$ I
$ /. 00 I
$ /tJd. z.s-I
I Rece~(P. ObQ
BY~._
#
#
#
#
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 ail inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION' .RECORD
SITE ADDRESS IS 32.0 w()OO "bu,c,...k.. II~; L...
NATURE OF WORK ~W~L,... F;~l,"
USE OF BUILDING ~.~ 1).
PERMIT NO. O'! ~I~ DATJ;ISSUED J2..(1'2./O~
CONTRACTOR ~b)at4.Af/~ PHONE~2..""O- C/.1B1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
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OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOT.j(;:!i: .
This card must be posted near an electrical servlca 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
TillE
_9'4~-
." "
/S3.20 U/dO I dvd' ;7;/
CITY OF PRIOR LAKE
INSPECnON NOTICE
ADDRESS
OWNER
PHONE NO.
lJ FOOTING
lJ FOUNDATION
lJ FRAMING
lJ INSULATION
~L
lJ SITE INSPECTION
SCHEDULED
CONTR.
PERMIT NO.
lJ PLUMBING RI
lJ MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
-t!l" MECH FINAL
DATE
C/ j' -/S- f 2.
lJ EXIGRADlFILLlNG
lJ COMPLAINT
lJ FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS.: ___ /. / /.. /
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I'd CORRECT ACTION AND PROCEED
o CORRECT WO~~ REINSPECTION BEFORE COVERING
Inspector. /~J Owner/Contr.
r -
~
.----
CALL "7.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
INSNOn