HomeMy WebLinkAboutBuilding Permit 03-0243
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
_A.ND UTILITY CONNECTION PERMIT
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,RfJy..JJO/l!- .f9v - 9/15
Date Rec'd
:3 -6-03
I. White File
2 Pink City
J. Yellow Applicant
PERMIT NO. d.3- t) Z-l-J
(Please tvo~ or orint and sien at bottom)
ADDRESS
..3e75 Wlvl/OWWd?JO
$/ .sW
ZONING (office use)
,e/
LEGAL DESCRIPTION (office use only)
LOT f> BLOCK 1
ADDITION
Put! OS
PID"25 - 2.95 - /J/)~-O
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(Address) -c-3C:< 7~ i.JilltJuJtJor)(lkf- C:;'(j)
(Phone)
qc;;:y - t(t/7- 3 <((tJ(?
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BUILDER
(Name)
(Contact Name)
(Address)
(PhoQ.e)
(Phone)
TYPE OF WORK
o Misc.
o New Construction
~ower Level Finish
ODeck
DPorch
ORe-Roofing
ORe-Siding
DUtility Connection
o Fireplace
OAddition
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
~terupontheq>~lJ~~:oi~end)~~~~h\ - S'4Ae. 6 5-~J-()2;_
- Wature \J\J Contractor's License No. Date
I Permit Valuation 1-,000.00 I Park Support Fee # $
I Permit Fee $ f37. z5 I SAC # $
I Plan Check Fee $ I Water Meter Size 5/8"; 1 "; $
State Surcharge $ 2.00 I Pressure Reducer $
Penalty $ I City SAC and WAC # $ )
I Plumbing Permit Fee $ 4-0.00 I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Permit Fee $ 4{).OO I TOTAL DUE $ If, 1. zs-
I Recel~ No. "-7eJ.:J J 7
This Application Becomes Your Building Permit When Approved I Paid /v'?Zb
Date 3,S~OJ Bv 1--- .
Building Official 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 55372
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3875 fVll/vOf'l/WOO.o .577Z-&5/
NATURE OF WORK 1-0 W E:K- t-el/E'-
USE OF BUILDING /CES 1'1/JC.--
PERMIT NO. ()3- 024-.3 ' DATE ISSUED :3 -s -03
CONTRACTOR PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~G I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING rW 1- (,
HEATING (if required) /11'/ ~ ~
FIREPLACE Vtlr/ J-, J -OJ
GAS LINE AIR TEST I/1/f7 3-/3-07
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
YW
~
3~C
7,(.
I BUILDING
, ELECTRICAL
PLUMBING
HEATING
DO NOT
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o/t9/qS
.J -l-{/5/0S-
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OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~~~S-;'
~ /~(...f LYOO j s/-
ADDRESS
~?cf7 .s.--
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~~LATION
~~~~~L
o SITE INSPECTION
CONTR.
PERMIT NO.
tJ J - ...20/(
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
~H FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
~EPLACE FINAL
o GAS LINE AIR TST
o
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~RK S FACTORY, PROCEED
k6RRECT ACTIO ~....ft
o CORRECT ry~? REINSPECTION BEFORE COVERING
Inspector: _ Y/ ~ Owner/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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