HomeMy WebLinkAboutBuilding Permit 03-0564
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
I '1.2 r J /7 A "-7 lc: -?","~ I.L
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
PJ'~l<.r A.
t; '"z; c;;- i' ~ r
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
~eck
o Fireplace
o New Consttuction
OLower Level Finish
o Misc.
I. White File
2. Pink City
3. Ye\low Applicant
L~
&~,{ LAit-
(Phone)
(Phone)
OPorch
ORe-Roofing
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $
Permit Valuation
Permit Fee
Building Offici~
~
D~te
I Park Support Fee
I SAC
I WaterMeter 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
I Date
7~.~b /
<)/iz/o3
,
Date Rec' d
5/l,. oy
PERMIT NO. 03, O~
PID
ZONING (office use)
.2- '7
/ L-..
7fl--L('IO- '1./73
#
#
#
#
ORe-Siding
OUtility Connection
$
$
$
$
$
$
$
$
$ /?9. foe
By
Receipt No. 4.42.."
(l.IJ1-J
. 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.
I hereby certifY that I have furnished information on this application which is to the best of my knowledge ttue and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all consttuction will conform to all existing state and local laws and will proceed in accordance with
submitted P~~I am awar that the~~~g official can re:# this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teruponK,:r _~o~n/?Z,~ j--/;l-O"
Signature / Contractor's License No. Date
/
/.3aO,() {) I
$' rr 7 91) I
I Plan Check Fee $ '3 i. 1..3
I State Surcharge $. ,r
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
I Gas Firylace Permit Fee . $
t~k=~p=tt;j;;f;;
/)
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/7~t(3 M~hh,,/d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION 11.-, II
IiI" FINAL 1fC-"1L-
'0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
.,....
C) ~ L i!>,,()~h
/' /J r1i1 tt:.. /-"0">'1
DATE TIME
(';-/7
~ -S-C Cf
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-En (,7tJsrl- 10 h,..u~
V
/'"'""I
/
( /
\...-/'
I
t D~
1 -;-/
r-/ /..2
~
o WORK SATISFACTORY,PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: H to /' /7rO) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ
\",__....--r-
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /7ZQ3 11i7R-S/-Ir/ELO LIV.
TYPE OF WORK 0 C-e;C ,
USE OF BUILDING U~ If/K-
. PERMIT NO. ()] - 65b4- I DATE ISSUED 5./2-. oJ
BUILDER ICIECj~ PHONE # 4'4-0- 43 73
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
FOOTING I JIl.IY? I s- ;,.0-0)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
J FINAL I Nt! I (9- r-,-Cf'.J
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850