HomeMy WebLinkAboutBldg Permit 03-1414
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/D.22.03
~. ~j~j~e ~:;y I PERMIT NO'OI?_IA/4--1
3. Yellow Applicant . ~ I ~
5//3 Wt/tif01ff!J-1
CA J6
ZONING (office use)
;eIJ t:J
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
PID Z5: 338. 0+0. ()
BLOCK
OWNER
(Name)
(Phone)
L?f3rt7V S t!/--ff1r:PGJe-
(Address)
~. ~~(p (iI)
*3.e&SbC0
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
ORe-Roofing
ORe-Siding
o New Construction
){Jower Level Finish
2- Ien1J ,
o Deck
OPorch
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
. shed information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
and that all construction will conform to all existing state and local laws and will proceed in accordance with
cial can revoke this permit for just cause. Furthermore, I hereby agree that the city offi 'al or a designee may
x
Contractor's License No.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Park Support Fee
SAC
#
#
"2"1 00 O. 00
$ ~2.Z-~
$
$ I. (,) 0
$
$ "'0. 0 d
$
$
$
Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
#
#
Other
.~..-( qq,--,
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
Building Official
Date
$
$
$
$
$
$
$
$ /.00
$/04-.25
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5/ /'Y wf/ /1/ bl17irl 0-
NATURE OF WORK UJ{'UbJU' LEl/67---
USE OF BUILDING /Z6I /7/ /Z-
PERMIT NO. 03- /+--/?- / DATE ISSUED /0. Z- 2.03
CONTRACTOR S(!/'f7T?r&7L PHONE H-O~ -I-~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
)
PLACE NO CONCRE E UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
J2-/~ /6s
~1-:
I J~ '7' 03
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough.in lnspections
and maintained until all inspections have been approved. On buildings and adflitions
where no service cabinet is available, card shall be placed near main entrance. -
FOR ALL INSPECTIONS (952) 447-9850
/?~A~ME
-
q4q~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~~~-5
U...Jy~
/
CONTR.
OWNER
c~.
PHONE NO.
PERMIT NO.
oj - /'//t/
,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
MIHAL
/[j SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
o MECH FINAL
COMMENTS& #/& cI ;IP7
~" / ~ /
/.. ~ ;~. ( ~nq /
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/ ~
/0/20/0';/
, .. ,
A#7~::7 ph. / C)r(
~,/cI!r ~~/ ot
Inspector:
RE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNon
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!