HomeMy WebLinkAboutBuilding Permit 03-0619
CITY OF PRIOR LAKE BUILDING PERMIT, ,.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
5 2.3: aJ'
Ol-/I()C-
(Please tvtle or 'Print and sign at bottom)
ADDRESS
; ~;~~' ~:~y I PERMIT NO. 0-)'7_ 61/q I
3. Yellow Applicant U (p
2-8/5
PINE-
Vlo.J
ZONING (office use)
/?UfD
LEGAL DESCRIPTION (office use only)
LOTS-BLOCK -s:LADDITION ~/c....O~
PID '2.1- 2-'97 - () r~ - ()
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
HOU:H Vr. Sflr vie-d'
Ra.llc!.i' Lutz
1537/ PobCq~ C.-ch
(Phone)
(Phone)
(C;s" Z) L;t7 - 12. 'IS
,,(If (~/2) 7'13- 'g: 7iP"
. .
.M}..) S53,2.
j)rlor
l.cJJt_
TYPE OF WORK
o New Construction
r-eck
o Fireplace
OPorch
ORe. Roofing
ORe,Siding
DLower Level Finish
OAddition
DAlteration
DUtility Connection
o Misc.
PROJECTCOST/VALUE (exc!udingland) $
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 loca11aws 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
~teruPOnfueY~.2~ons
1.0"'" Signabfre Contractor's License No. Date
Permit Valuation 3o~.oo I Park Support Fee # $
Permit Fee $ 8~. 2.51 SAC # $
I Plan Check Fee $ 51..{./1 I I Water Meter Size 5/8"; I"; $
I State Surcharge $ 1.5'"0 I I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Permit Fee $ I TOTAL DUE $ ( ~R . ~ (l,
I te ~0 n.
This Application Becomes Your Building Permit When Approved I Paid I Recetp;No. 4..fU3:?
~~ ~ 6Az~3 LDate . ~.lAtI} BV%'.........
~ 5f2-1~- ()
Building Official
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
Z4 hour notice for all inspections (9S2) 447-98S0, fax (952) 447-424S
16200 Eagle Creek Avenue Prior Lake. MN55372
~
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS 2815 PINe; VtE;/A/ DK..-)J~
TYPE OF WORK bJe?'A'C..
USE OF BUILDING /Z/bS' H/L'
PERMIT NO. 03- 0&/9 i DATE ISSUED S. 23. () J
BUILDER PHONE #
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
. , INS~C!OR DATE
IFOOTING DP,O/:'1".O; nJ fR-l? I' (r'iP I /~]J~
PLACE NO CdNCRETE UNTIL ABOVE HAS BEEN SIGNED
I I
I FINAL
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
- ~~ - ---- ----
Jts- TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED S ~ ~ ~
-:2.'8 t ~ -:q tA.4J- V (,"'k-J
ADDRESS
OWNER
CONTR.
C'_ L-cJ~
PERMIT NO. ...0 <" - ~ I '1
, I
o PLUMBING RI 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
r<~
~~
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'-..FINAL
o SITE INSPECTION
COMMENTS: ~L-
",-WORK SATISFACTORY, PROCEED
o CORRECT ACTION ANI) PROCEED
o CORRECT~ ~BEFORE COVERING
Inspector: .f X If' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH Ie SAFETY/
INSNOTJ