HomeMy WebLinkAboutBuilding Permit 03-0681
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please type or print and sign at bottom)
ADDRESS
I. White File
2. Pink City
J. Ye\low Applicant
PERMIT NO.03-bf/
330/? tvCJod du C-/C {) h
ZONING (office use)
PLiJ/J
LEGAL DESCRIPTION (office use only)
LOTG::, BLOCK ~ADDITION I"LJ.~c.r2a Q~
PID a 5---3 3 7-0LJ'l(O
OWNER
(Name)
-
I "I) Y
Sco +'-<'-.
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
J-Iov~ e. '.Dr J S v VI c..c. '5
~"dy 1.A-I'J:..1..-
I "5;}'/1 Meo..f Cvoh
&lG
(Phone)
(Phone)
l'frz) Lt~S .-;Zn
(utz,) 70/3-- e 7" -2-
55372...
...-
~
-------eiRe-Siding
triar LoJIt
MJJ
TYPE OF WORK
o New Construction ~eck OPorch ORe-Roofing'
DLower Level Finish 0 Fireplace \~Addition DAlteration
o Misc. PROJECT COST IV ALU~c1Uding land) $
I hereby certifY that I have furnished information on this application which is to the best of my wledge 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 exis tate 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, by agree that the city official or a designee may
Xenterupon the.~. rope~ orm :ede~ns.
~~~~ J.038/179
V' Slgnatur~
DUtility Connection
Contractor's License No.
Date
I Permit Valuation I Ild.JcJ ,...-- I Park Support Fee # I $
I Permit Fee I $ &!> 7.0<" SAC # 1$
I Plan Check Fee 1$ ~"7 - ~ Water Meter Size 5/8"; I"; I $
State Surcharge I $ . f!,o Pressure Reducer 1 $
Penalty 1$ I City SAC and WAC # 1$
Plumbing Permit Fee I $ I Water Tower Fee # I $
I Mechanical Permit Fee 1 $ I Builder's Deposit 1 $
I Sewer & Water Permit Fee 1$ I Other 1 $
1 Gas Fireplace Permit Fee 1$ I I TOTAL DUE 1 $ '1+-13
J / paid~q/r4!.q~ I Receipt No. I./t/5'7 ()
Buil~p=;'f-r;
Date t:? - .+-- 0 . I By 'f~
Date I
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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
c. - '2. S- -(') J
ADDRESS S 30 L ~ ~ () c>c". k.... ,9 J
OWNER
CONTR.
PHONE NO,
PERMIT NO,
3- fo ~ i
o FOOTING
o FOUNDATION
o FRAMING
o INSULAT~
)ii(FINAL
o SITE INSPEC
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
l. L..c:W-1;;?] ~J~ ~,c:.,
.
CUl' ~
\p - ~ -C>~ r.1"y'f
eClt~d..t~ ~ '{ 1.,;>
I> t 1-0 c l cJiJL +f.-u. ~:\p
~(~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORREC-;E' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL i9 50 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQcnleMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
/NS/fOTl
T
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORn L ~ 1/ D
g30? {Aa()cro~ ~
TYPE OF WORK "[5eC- /<.
USE OF BUILDING 51=
PERMIT NO. ..03- 10 8'/ DATE ISSUED "." ~ "'03
BUILDER 1fi,a,,'Sc, ~ S-tA:S PHONW~. 7"3-1'.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SITE ADDRESS
INSPECTOR
DATE
I FOOTING I II/;v I ~/(~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
-=- I I
FINAL
"7
I 1/ JP I ~-~
Call between 8:00 and 9:00 11M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850