HomeMy WebLinkAboutBuilding Permit 03-0046
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /7444-,12--/ 06E Wov.D
NATURE OF WORK t-OlvE)L l..EVbL-
USE OF BUILDING ~f ~/~
PERMIT NO. 03 - 00 ~~ ' DATE ISSUED / - 7 - 0.3
CONTRACTOR-~/r-Jt. c"'Du::7JTLA:uJ PHONE 952 - ~o/l- '?153
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT 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
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
ADDRESS
/'?4/f 4
!c':-1t/6 [ J Vl' (J.o
(!;f
Date Rec' d
/. 7- {/ Z_
I White File
2 Pink City
3. Yellow Applicant
PERMIT NO. ()~ . ()C4-~
ZONING (office use)
K. /
LEGAL DESCRIPTION (office use only)
LOT 10 BLOCK 4- ADDITION
ft/ (){I J) 1tA'1J 6c? :5 e-t;J
PID '25 - 317 - 03'1- ()
OWNER
(Name) ~ lVA :by f i/t\: \L1v2)
(Address)
(Phone)
({fJ2 - Ll41-1\trJ6
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ODeck
ORe-Siding
~Lower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OAddition
o Alteration
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 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 e 0 e to perfi needed inspections.
,--...,.
{,(j
o Misc.
x
Signature
Permit Valuation " 2aOf!). 00
Permit Fee $ It' 2, 2.-5
Plan Check Fee $ -
State Surcharge $ 1.00
Penalty $
Plumbing Permit Fee $ ~tJ. ()~
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ ~ . tJO
This Application Becomes Your Building Permit When Approved
,..
~ =7.a.Jlf-'
Building Official
1/~3
Date
OPorch
ORe-Roofing
OUtility Connection
, / 7i 03
ate
$
$
$
$
$
$
$
$
$
-
J
Contractor's License No.
Park Support Fee
SAC
#
#
~ 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
igned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ -=1~ 1/?ft3 ~J&ubJCI)eL ~-
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
Water Meter Size 5/8"; 1";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
Residential Building Permit Checklist
Basement Finish or Interior Alteration to Single Family Homes
'"
BY:~
t'
y'Jp
Date:
Y7;0,2-/
Building Permit #
Site Address I 7~o/ ~
Pill:
~~
':::J Subdivision:
Zoning:
Legal: L B
Existing Structur~r NO
I CONFORlVIS TO ZONIi'iG
ORDIN"Al'{CE
TIS
NO
YES NO
Is this an expansion of the existing footprint or Refer to Planning
building height? ,}()
Is the property located within the flood plain? I Refer to Planning I ,J()
Does the alteration include any additional kitchens? I Refer to Planning I ;JtJ
Does the proposed alteration include any outside Refer to Planning
entrances other than patio doors? N()
Is the proposed use of the finished space or Refer to Planning
alteration for anything other than a nonnal single Jo
family home (office, group home, day c:u-e, etc.)?
THIS CHECKLIST :YIUST BE COMPLETED ,~'fD INCLUDED IN THE BL1LDING PERivfIT FILE TO
MAlNTA1N A RECORD OF THE REVIEW.
~
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