HomeMy WebLinkAboutBuilding Permit #03-1195
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS .~2B't Woc,JL 'Ouc.lA...
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o )NSULA TION
,)lI FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
M lJrJJ t.. blc.
DATE TIME
/z..u,
3-1I~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
^" ~
I-t '"Vt..,A ~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC K, CAll FOR REINSPECTION BEFORE COVERING
Owner/Contr:
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector'.
/NSNon
'REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bu..v...)
ADDRESS
3Z'09 NOOO OU~
Date Rec' d
q. 3,0.3
~. ~i~~e ~:~y I PERMIT NO. ()1? /I/~ I""""
3. Yellow Applicaot ~ 7 )
LEGAL DESCRIPTION (office use only)
LOT 5 BLOCK ?- ADDITION WI '-05 3' /e.4'.)
OWNER
(Name)
(Address)
BUILDEIVo
(Name) ::>l Ccl rcJ-
(Contact Name) To n-,
(Address) 2 840
TYPE OF WORK
5 t Co r-o.....
Otl Q IItI(L tb.-e 5t) u.-J '"
o New Construction
OLower Level Finish
o Misc. Shrl.ec~ ~ttc::.H
ZONING (office use)
PtJ.t:J
PID25337. 04-3.0
(Phone)
(Phone) q 5 2.,; 't 2 4 -a::x?~
(Phone)
5{$ot{CsfiJ MAl .,S Lj /6
)week
~orch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
OUtility 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
="r;:::Zrty t7:,ttdedm'P,,"O", '2CJ '2 53 'f 2 S c; J"3 /0 ~
Signature Contractor's License No. '/ ~te
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
PROJECT COST IV ALUE (excluding land) $
o Fireplace
"Ia, tJt) (). 0 ()
$ /y/.Z-~
$ 1/7. fill
$ - S .00
$
$
$
$
$
This Application Becomes '(our Building Permit When Approved
~+~
Building Official
7/9/tJ 3
,
bate
$
$
$
$
$
$
$
$
$304- ~O(P
I Recei.1No. tF.rVIJ)
I By 7: ". -
~
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
#
#
#
#
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
Builder's Deposit
I Other
I TOTAL DUE
I Paid ..:"? 01/-_ 0 h
I Date
Date Special Conditions, if any
24 hour notice for all inspections (952) 447.9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Thr Crnlr, of Ihr t.kr ('nunlry
<::whit,. - ~uild~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
s/corq::; CONSle&
() 3 _ 03
f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3289 WOOD DUCK
Accepted
Accepted With Corrections
"../
Denied
Comments:
Reviewed By: ~
~oJ
~,
/
~f-;
a.f..f/ ~
Date: 1/,9~3
..~
~
"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
.
INSPIECTION RECORD
SITE ADDRESS 3aa~ ~OOQ btfeJt
NATURE OF WORK ~et.J ~--'---~D S-H
USE OF BUILDING ~ '
PERMIT NO. ()3--1/9S- DATE ISSUED
CONTRACTOR $.1CM.A. PHON - ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
FOOTING 14 i e.- ~ I ?it ~ J-/1:[3
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~- I;;;
r)
J tJ- 6...;0]
---
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
f}j
't ~ rt, ..ctJ
"
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
\
FOR ALL INSPECTIONS (952) 447-9850