HomeMy WebLinkAboutBuilding Permit 03-0519
DATE TIME
CITY OF PRIOR LAKE (;,q
INSPECTION NOTICE SCHEDULED
ADDRESS f1rJ'i ~Llcfj/'."f"" C:.,-
OWNER CONTR.
PHONE NO. PERMIT NO. '] - ~/r
o FOOTING o PLUMBING RI o EXIGRADlFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION fftJC o SEWER HOOKUP o FIREPLACE FINAL
IJ'1'INAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
AJ.d /-eW(
,
/qiAd'~1
qJ-.- 5'~;;?5
o -'~9RK SATISFACTORY, PROCEED
,.-CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ,r1-r G. ),. 7~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY!
"""""
- ..... -_.._----_..--~....-- --,
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Please e or rint and si at bottom
ADDRESS
/7/34- 11/000VIt:;. ~v'
Date Rec'd
~;~:' ~:~y I PERMIT NO. n2_ <"/0 I
Yellow Applicant ~~/ 7
~T
ZONING (office use)
/2../
5~
LEGAL DESCRIPTION (office use only)
LOT3 BLOCK 4- ADDITION WOODIG.40c,6 &>TJf,..-cs 1ST'
PID r - ZeD'
.-0
OWNER
(Name)
H6e---;-Z-aj,
,
(Phone)
44-0 - fJ.el- 75'
JZ>f+1J rnvo p'flJl/C,y
,
(Address)
BUILDER
(Name) JDJ--IN
(Contact Name)
(Address)
fI El!TzoG-
~Yb- Ji'q 7S-
(Phone)
(Phone)
TYPE OF WORK
o New Construction
eck
DPorch
DAddition
DUtility Connection
DLower Level Finish
o Misc.
ORe-Roofing
ORe-Siding
o Fireplace
DAlteration
PROJECT COST IV ALUE (excluding land) $
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 erty to perform ne inspections.
/'.
x
$IgIlature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
$
...
Contractor's License No.
//-30 ~03
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $ IIS'AJ,
TOTAL DUE $
I ~~:e ij !/;~;~
I ':;"'ftJf(}f
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, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /?/S'I /~~,~t?r
TYPE OF WORK Ot!!.'..A::..
USE OF BUILDING SF
PERMIT NO. .s - 'J9 DATE ISSUED 5-.a -03
BUILDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR Y OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING I fW1 I 5 - }. 7~d>
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
1_ I tf1/(: I t.~b1~~
I FINAL I Iftr/ I C" j/l-rf>
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850