HomeMy WebLinkAboutBuilding Permit #03-0875
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
. siC ~ (X.,d,tu_ sd"
./
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION IlL
LFRAMING y./Cc/(
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE nME
5.).'3
3- e-7S-
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT.~R~ALL FOR REINSPECTION BEFORE COVERING
Inspector: Y ~ 1- ;J-~ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE 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 si~ at bottom)
ADDRESS
3C{b S
p~r~ ~i"~ <;.J.. <; \J
LEGAL DESCRIPTION (office use only)
LOT 1 rBLOCK
I. White File
2. Pink City
3. Yellow Applicant
ADDITION
J~!Jr6f)k p~ ;)NJ
OWNER
(Name)
~~~ph~.....
.
o~
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK.
o New Consttuction
OLower Level Finish
o Misc.
(Phone)
(Phone)
(Phone)
.Deck
o Porch
ORe-Roofing
o Fireplace
OAlteration
PROJECT COST IV ALUE (excluding land) $
OAddition
Date Rec' d
PERMIT NO. IJ?J- ~15'
ZONING (office use)
/{? / 50
PID~.~"'lo/-1I O/3-iJ
'\ So1- Lttln - d- ..., "-1
ORe-Siding
OUtility Connection
I hereby certifY that I have furnished information on this application which is to the best of my knowledge ttue and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all consttuction 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
exnter UP.o~:ir~r;~rty to perf~;eeded inspections.
~hIA- V4- 7-1-03
Si~ature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
,--:z,oo ~ '"
.
4"1.era
"?, I. I~
.~
Park Support Fee
SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
J
79. "J
7./t)']
# $
# $
$
$
# $
# $
$
$
$ 71 ,,~!!>
Rec/1t No. #tt 4-'
By 1_
()
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 :89 t:-S p~ ~
TYPE OF WORK Deck. - ct
USE OF BUILDING .5 p-
PERMIT NO~6 3- ~."S- DATE ISSUED '7- /-3
BUILDER ~ PHONE # 'il/O--;71,.1
, .
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 I nff I 7 -tt-In
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
,.,
FINAL v1 f/ ti- 2~, (}l,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850 I
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