HomeMy WebLinkAboutBuilding Permit 03-1171
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ..!VDe or nrint and sism at bottom)
ADDRESS
50S ~ PbV\ll<.
&.tqL
LEGAL DESCRIPTION (office use only)
LOT d-BLOCK / ADDITION
Date Rec' d
; ~;~: ~:~ I PERMIT NO. f)- --:2-1/7/
3. Yellow Applicant V
Uh0
&~K~
VlttdlrY\l V hDVM.oq-l1
f, bt; '\ P~lit<,. (dq<--
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address) 14415\)
~<-v
~lll
TYPE OF WORK
o Misc.
r~L-h.~
ZONING (olliceuse)
PID ;:]5-3Cf1- aJ J-(J
La Vlv
(Phone) "1<;1. -2.2--v -2-245
(Phone) cts 1- - 4-+0 - lIS ()
(Phone)
~ 1..l-ItV\"vllt~
P b,v'"
,
D New Consnuction
~
o Fireplace
OPorch
OAddition
ORe-Roofing
DAlteration
ORe-Siding
DUtility Connection
L,6bD
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 a are that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter upon e ereo needed insp,ns. 2-D 7-l u> II 0 ~ - 'l. _ b3
ature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
DLower Level Finish
PROJECTCOST/VALUE (excluding land) $
-
$ ~~~ ~
$ <'<?'d~ -
$ C::;U-II, I
$ /;C;O I
$ t
$ I
$ t
$ I
This Application Becomes Your Building Pennit When Approved
Building Official
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
t City SAC and WAC
I Water Tower Fee
t Builder's Deposit
lather
I TOTAL DUE
I~X~ .
-:ic.C) # / d ' 0
I Paid
I Date
# $
# $
$
$
# $
# $
$
$
$ !,~>?' frb
I ~y ih.+f5'
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.................,,' Cenificate 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
g -(){)r,S"
(Please ~ or 'Drint and si2D at bottom)
ADDRESS
50S3
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
PCI/I/ Of GDCFj t::;,
LEGAL DESCRIPTION (office use only)
I. While File
2. Pink City
3. Yellow Applicant
Date Rec' d
'1 ,f. 03
I PERMIT NO.o3"---,f 1/
?/fAl&
LOT Z-BLOCK I ADDITION
D5Gtu:1 G GO 871t
PID Z5. 3'19. OOZ. 0
I ZONING (officeu,,)
,e./
g.':e~R Form()~ \)Ic~d; mi ~ r:, La nCl- (Phone) 95;-:<~6-JrJ Vft
(Address) 6-05?J Pbndsedae_ Lane Sb P,IOf- r/aY--e 553 ~~
BUILDER y{ - , 'je/'" ,Jj, ~
(Name) A ,'v UeY (J.JY~~
(Contact Name) . ,::J'D.![f~, ';"',-J .l.,t""~'~
. (Address) /~'J~a LV 2. lYY't./~1 ,0
~ ~vv /,y}1r' ~Af:-" . rt
TYPE OF WO~ 0 New Consl1UCtioo ~eck \;) OPorch
OLower Level Finish 0 Fireplace OAddition
o Misc.
(Phone)
(Phone)
ORe-Roofing
PROJECT COST IV ALUE (excluding land) $
OAlteration
ORe-Siding
OUtility 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 property and that all constnlction 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
enter upon the prope~ to yerform. needed inspections.
lr Svr~OJv'\Cl- 9-L{-()3
Signature 'Coo- Contractor's License No. Date
Permit Valuation
Pennit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Pennit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
*~OOOI 00
$ ~:r~ ,'Zoo'S
$ 9-1. "
$ '."&0
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
~ :J..ruP- Jh.163
Building Official Date
$
$
$
$
$
$
$
$
Q.5.03 $ /3a.B(P
I Rece~~o. 45Z,!'b
BY4 '
o
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 L..r~.""'J 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"; 1";
Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE l'Jl1MJn
I Paid /1r. d (,
I Date 11 /z,lJ (
1
#
#
Date Special Conditions, if any
24 hour notice for aU 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
5DS3 "~NDS~E ~.e
NEAl ~ r ~U!Jiiu
s.F: D..
J ss~'rf' -1/!I1, '3
BUILDER , PHONE #CJSZ- ZU-ZZ.,S
NOTE: THIS IS N T PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
'FOOTING I ~ I fO-O-(/)
~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
'FINAL rd I 4iJ"/o.r
, /
FOR ALL INSPECTIONS (952) 447-9850
"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS So..r-.]'
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
".....w1!iNAL
o SITE INSPECTION
DATE TIllE
SCHEDULED ~~4s"
A....d..c ~ ic .0 ~'"-e
~ -
</ -
CONTR.
PERMIT NO.
C) ?-//,7/
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:, '/
_~,;: ~7?~ HO'-l::r.1'-'..,........,.._
~'7. ;t ~LJ JOY- -/),,,Pr l' C. ~ u~-~ - <J~/'
~d, COx-/;....dk ~kh4d~/
t/~_ f- A~h --0" '2'd.v'P~/ r/,;.~iUL<;
O,./)v~ I"""'/?'_~ /:r,
~ //..o=-- -1/;.,;, cy?d6#'r.<. t'YL_
A6~n' U'- /4 hd #'?) '7froik
- ) - -II
~/;t. k ;;....a-c r' ~r .2 LL.J/h. ~
UeL
~ ~
/'~/' :J'~/ A
/ - c:.:::-r.o; r~ /---" /e ..-/
AWOR~FACTORY' PROCEED =-------
o CDRRECT ACTION AND PROCEED
o CORRECT ~~ ;A~~ REINSPECTlON BEFORE COVERING
Inspector: /~ Owner/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
uaNOTI