HomeMy WebLinkAboutBuilding Permit 03-0586
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
r-. 1(, ."?
L White File I PERMIT NO
2. P,.k Ci~ .'() ? _ /I L""& /
J. Yellow Applicanl ...). V~Ol:?
q'lease ~ or orint and si2l1 at bottom)
ADDRESS
::339& WOOD OU~ DR..
/'IfV'
LEGAL DESCRIPTION (office use only)
LOT"2-AlLOCK / ADDITION 7He W(~05 312-0
OWNER
(Name) () t!.HS e:.NOfJ!2 F:
(Address)
BUILDER
(Namp'
(Contact Name)
(Address)
, TYPE OF WORK
o Misc.
,el C!.K-
o New Construction
~eck
o Fireplace
I zo;:t5 ~ffice ~e)
PID~-.337- IJ2}-()
(Phone) %>-1./40-1115/
(Phone)
(Phone)
OPorch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
OUtility Connection
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
agent for the above-mentioned r-~r-~..' and that all construction will conform to all existing state and local laws and will proceed in accordance with
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
n the property to perform needed inspections.
x
I Pennit Valuation
I PemtitFee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fiteplace Pennit Fee
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
Signature
~(JOIJ. 00 I
$ QS-. z.~ I
$ SY./I I
$ J. l';;;o I
$ I
$ I
$ I
$ I
$ I
Contractor's License No.
I Park Support Fee
I 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
#
#
#
#
snfp)03
Date
$
$
$
$
$
$
$
$
$ 13B.(1fo
. This Application Becomes Your Building Permit When Approved
~~ S-1i"'/n3
tbvi~~= {Mil- ~'(f;/;3
"rhis is to certifY that the request in the above applicl.tion a'lid 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
~
I Paid 1"S1l. rt..
I Date 5/,,.1""1
I ReceiptNo.
Bv "7i!'" .=
~t..-.D....,
Date Special Conditions, if any
24 hour notice for aU inspections (952) 447-9850, fox (952) 447-4245
\6200 Eagle Creek Avenue Prior Lake, MN 55372
\
\
\
PRIOR LAKE
INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK .
USE OF BUILDING ~
PERMIT NO. ~E ISSUED -5../41.. CC5
BUILDER OM SE:N OO~ . PHONE # 440. /<?5 j
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
__ JllSI'\~R DATE
1 FOOTING fA )el;Y>> I!:.-"~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I........ I I
.
1 FINAL
I fly(, I
Call between 8:00 and 9:00 A.",vtJ{all Inspections
FOR ALL INSPECTIONS (952) 447-9850
.
~M TIllE
CITY OF PRIOR LAKE
INSPEcnON NonCE SCHEDULED
ADDRESS '<,,'76- t~ Oild..r
OWNER CONTR.
PHONE NO. PERMIT NO. ~-~
o FOOTING o PLUMBING RI o EXIGRADlFILLlNG
[J FOUNDATION o MECH Rf o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULA~ ' o SEWER HOOKUP o FIREPLACE FINAL
:Ji..BNAL o PLUMBING FINAL o GASUNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
QL~~
J I
rt'v.
f7,
~ {/ I€.
~WORKSATlSFACTORy.PROCEED
o CORRECT ACTION AND PROCEED
o CORREC RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: j Owner/Contr:
CAl _ 860 F~E NEXT INSPECTION :u HOURS IN ADVANCE_
CODE~ENTSARE FOR YOUR PERSONAL HEALTH" SAFETY!
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