HomeMy WebLinkAboutBuilding Permit #03-0132
CITY OF PRIOR LAI(E BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File
2, Pink City
3. Yellow Applicant
:3
(Please type or print and sign at bottom)
ADDRESS /1.--7/- ~
,- IcPJ p/t,e7Je-lOG6
~O(J~ i
LEGAL DESCRIPTION (office use only)
LOT 4- BLOCK I ADDITION ICfI/ () 13 1-11 f-.'-' 4- nt
PID 25- 3ft?2 - 004-0
OWNER
(N ame)
JOHN t Sue
WHrJL-eV
(Phone)
~4-5 - as 2-?
(Address)
S/1H 8
BUILDER
(N ame)
(Contact Name)
(Address)
~v~Tt
(Phone) -"'t ~.. BtJ2.J-&7~?
(Phone)
TYPE OF WORK
o New Construction
~ower Level Finish
o Deck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
o Alteration
OUtility Connection
o Misc.
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 fot' just cause. Furthermore, I hereby agree that the city official or a designee may
enter uPfn 1;I1e property. to perf 07 need1jnspections. ') I ') / ' . ""')
X "- 'jr.p1'h (A~ '1gJc~J.----- (9; ~ (;-S
Signature r / Contractor's License No. Date
'-'"
Permit Valuation ~OOO.()O )Park Support Fee # $
Permit Fee $ ~7. z,~ SAC # $
Plan Check Fee $ 'Water Meter Size 5/8"; I"; $
State Surcharge $ Z_o 0 Pressure Reducer $
Penalty $ City SAC and WAC # $
Plumbing Permit Fee $ +-0 - 0 D 'Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other ~b C-? Je.4 4?rL/ $ 1.00
Gas Fireplace Permit Fee $ 40.o() TOTAL DUE $
/1 A
/~ o. V:> .. ~~/2-
J;{liC Your Building Permit When Approved Paid Receipt'}lJ o.
d- -~-dS Date . OJ -.3 -"0/ By Jt.- .
G
Buildin 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, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~7"5 /JA/t,7/U066 ~T:
NATURE OF WORK Lt6V~
USE OF BUILDING 6S "-
PERMIT NO. /32- ATE ISSUED
CONTRACTOR PHONE ~5'" ez,Z-
NOTE: THIS IS NOT A PERMI OR .ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
n/Z177~
"..,
/17 /l../ '/ ~ 'I
yVP
YV(/
L..l -15'
t--(- ()"
J1Iy'...I
Ivy.'
t1-(j-
11-( S-
~Lrl
3/3/t:f3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
({f>.
::1 - ~ -t!) 'I
7
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
2-
ADDRESS l.( ( & t:)' r G<r - T\' ~ C-. ,
OWNER
CON~l.
PHONE NO.
PERMrr NO.
3- 6 J 32
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING I~I
o MECH RI
o WATER HO()KUP
o SEWER HO()KUP
o PLUMBING FINAL
o MECH FINAl.
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
jiif'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~O K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnerlContr:
CALL 7-9;50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
INSNOTI