HomeMy WebLinkAboutBuilding Permit 03-1037
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ---.1~ 7~ 7
OWNER
DATE nile
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CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION 0
.. FINAL (ck
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
2'~
/
~
~ORK SATISFACTORY, PROCEED
fy;;ORRECT ACTION AND PROCEED
o CORRECT ~O~'}1ALL FOR REINSPECTION BEFORE COVERING
Inspector: II lit I' ~ ~( L( 1f)OwnerIContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
8.5.03
I. White File I PERMIT NO
2 Pi.' Ci,y '0" - /037
J. Yellow Applicant ..-/-
(Please tyoe or Drint and sign at bottom)
I ADDRESS
It, 7 t 7 7:?(r~' 0 L"" /<' r 77Z /l.:r I'
ZONING (office use)
R/SfJ
.
LEGAL DESCRIPTION (office use only)
LOT3 BLOCK !( ADDITION
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() /U.(JU &9-iT1L-
PID .:<S-OI'1-l)tS()
If., 7t 7
ffi{. j--tiH:;
!SL:T;uQ fA/ (
(Phone)
95.;2 -2:zB - .;2:?5c)
OWNER
(Name)
12[)8~'/?1
(Address)
77tA..L-1
BUILDER
(Name).
(Contact Name)
(Address)
!J 4--( F f( If />1 < TV PL/V,C5 H
"D #~ 7? /..rut 'C -; 1-(
.3/2
L.LC
(Phone)
(Phone)
'752. -Y'J z - 57?(}
9'<,2- - 2D<J-.5'l?'e
Z..vo
5r
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TOR.<)4..j frf/'-'
c-:r- ::> ~ .~
J -) ,_~_-) ,,-.--
TYPE OF WORK
o New Construction
I5'lDeck
DPorch
DAddition
ORe-Roofing
DRe.Siding
DLower Level Finish
o Fireplace
DAlteration
DUtility Connection
o Misc.
OV
PROJECTCOST/VALUE (excluding land) $ 7 SOO~
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
~terupon '7)Yr;/;r; /ff:::fons 13 (' - 2.6 3& s c; 7"2 P-7' ~:>
Signature Contractor's License No. 6;:;.e ,~.
I Permit Valuation -#', -<) O{J f) . OCJ Park Support Fee # $ I
I Permit Fee $ 8:~. ZS; SAC # $ I
I Plan Check Fee $ ,C; 4{. ({ I Water Meter Size 5/8"; 1"; $ I
I State Surcharge $ I. 50 I 1 Pressure Reducer $ I
I Penalty $ I I City SAC and WAC # $ 1
I Plumbing Permit Fee $ I I Water Tower Fee # $ I
I Mechanical Permit Fee $ I I Builder's Deposit $ 1
1 Sewer & Water Permit Fee $ 1 I Other $ I
I Gas Fireplace Permit Fee $ 1 I TOTAL DUE /# /'i16t/j g'~:j $ /L~~ ~fo I
V ,
This Application Becomes Your Building Permit When Approved Paid / ~ x' 'lfl~ I ReceivtNo. ~C) ~04'----1
~.~~ R/ra ((J7 Date . ~i'> "7 ___/l -:;2., By CO
~ ~- c;r---
Building Official Date
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 oc ancy, a Certificate of Occupancy must be
:~~an~ ~6. 3 ~ speCiWCo~ditions'ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
16200 Eagle Creek Avenue Prior Lake, MN 55372
&~~
~ -Build~
Canary - Engineering
Pink - Planning
Th~ CUI.., or Ihrl.aJuo ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D
,
~ I
A 5.07
F;t?/tnE- 7lJ PiNISH
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
lit 7 ~ 7 0(-1 AlP L-c:.- ~.
Accepted
Accepted With Corrections ~
Denied
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~ /)0,.,( ~_-.:I-
Date:
~/t.I{j :1
t '
Reviewed By:
Comments:
'The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS ~ ~ 714? py iNIJ "'A~e nAIl,;
TYPE OF WORK NEIAJ DEe ~ .
USE OF BUILDING S,F: D. . _
PERMIT NO. 1JI'" /tJ:J '7 DATE ISSUED j7lLJ(tJJ
BUILDER ,D-IT ~E "1ll F1'NiS:H llJ::. PHONE #!S"Z.2IJo....mr
NOTE: THIS I~ NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING I M I 7) -<6--v'7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
, FINAL
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850