HomeMy WebLinkAboutBuilding Permit #03-0922
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I 63"30
OWNER
DATE TIME
SCHEDULED 11- 5 -l)S
Wt"(JL 'tl)t~ /
Y
fiT 11
CONTR.
PERMIT NO.
"( -9:27.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIOl
~INAL D.e.cJ
o SITE INSPECTI N
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT
Inspector:
Owner/Contr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
MENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
.<~..._>> -,-- '
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
'7 ./ !, ()J
15'350 W"
Date Rec' d
L White File I PERMIT NO I
2. Pink City . () ? -0 9? '7 .
3 . Yellow Applicant . ;> '"' '--"
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT $ BLOCK 4- ADDITION
7"}Ie"W( 60S su v111
PID2s ...?J'z,. IIJ. 6
OWNER /. 1\
(Name) C'A:e"" ,."t-" l:;">,
d 7
(Address) ? 0
~lcK
C.t-
(Phone) 9 s;- ,) - .2~c. -. d t,I d I
BUILDER (; I I t
(Name) {,Co':> "'j ('.,. ~ C\ 'C ~
(Contact Name) G I"c:.ca Vi:\. bJ:-
(Address)
(Phone)
(Phone)
qS~ -.)).f..v-J'I J)
95:2 -~.) (p --;<9.)./
TYPE OF WORK
J81)eck
ORe-Siding
o New Construction
OLower Level Finish
o Misc.
OPorch
ORe-Roofing
o Fireplace
OAddition
OUtility Connection
OAlteration
PROJECT COST/VALUE (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 perty to 0 n d inspections.
x
, ..
Permit Valuation W 3(J()() ,. () 0
Permit Fee $ ~3' . Z S
Plan Check Fee $ 51.(, II
State Surcharge $ {.So
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
~~9~
Building Official
7/tt!OJ
Date
7 -{ / -0.3
Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter SizeS/8"; 1"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ I~a,gjfo
I ~;ceiPt No.
I Paid
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 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 S5372
"
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS /.5330 W / Ll.J 71/ IVGGlj (!A
TYPE OF WORK . Dwe ,
USE OF BUILDING ItET /11/t:--
PERMIT NO. {).?-o 92 L DATE ISSUED 7. II. 03
BUILDER VAL67~ PHONE# 22&.24--2-/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~
I FOOTING I t I 5>-'-~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I FRAMING I I
I f!3 I L \- ~ ~
DATE
I FINAL
FOR ALL INSPECTIONS (952) 447-9850