HomeMy WebLinkAboutBuilding Permit 03-0484
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
~3
SCHEDULED ~~
We~~oJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1-L[~t{
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J! FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
./
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:=CT ~LL FOR REINS::::::FORE COVERING
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
~
~O~3 lodl00l0ood S-t Sf
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER I _
(Name) I,..AJ r €.r\ ~, ~ t"'heJ 0 'i
<Address)
BUILDER
(Name).
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
I. White File
2. Pink City
3 . Yellow Applicant
Date Rec' d
PERMIT NO'V'3- Jft<f
ZONING (office use)
PID
Ii _ (\'0 h nS'6n
(Phone) ffi3-) 4LJ7-/fIP ~
o New Construction
~eck
(Phone)
(Phone)
OPorch
ORe-Roofing
ORe-Siding
Dutility 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 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 upon the property to perform needed inspections.
X -n1.da:h.a~ L!--,;)'1-03
o Si~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
o Fireplace
PROJECT COST/VALUE (excluding land) $
OAddition
DAlteration
$
$
$
$
$
$
$
$
2/JOtJ,oo I
~CJ. Zs- I
4s, 0 I
1.00
This Application Becomes Your Building Permit When Approved
~ffi~ $url.:~
Park Support Fee
SAC
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
Builder's Deposit
Other
I TOTAL DUE
I Paid-h fir 1; / ~
I Date~" "4-:'- 'rJ.-'1-0...:J
# $
# $
$
$
# $
# $
$
$
$ 1/5Z(, I
Receipt No, ij lj;;*
BY~ L
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, tax (95i) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
'"
-.',
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 4tJfti3 WIt.A../Ot4wOOIJ S'I.
TYPE OF WORK D 86/C
USE OF BUILDING ~S /;J/?
PERMIT NO. 6;S- o4tJ+- / DATE ISSUED 4 . 30 - a3
BUILDER J()!I/J-S"o/J PHONE # #7-/e(;,~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
!tISPECTOR DATE
I FOOTING I /5), 15/7~3
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
, FINAL
7k1-
7/'7 t83
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
""