HomeMy WebLinkAboutBuilding 02-0985
ADDRESS
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DATE TIME
SCHEDULED t / ICj r ~ I4-T
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rL-S~ //Cv-e-,
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PERMIT NO.
,;)- 9~ ~
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o !NSULA T~N V
FINAL e c (""-....-
~SITE INS CTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~
~K SATISFACTORY, PROCEED
o CORRECT CT AND PROCEED
, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
...
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White File
Pink City
Yellow Applicant
18-s
I PERMIT NO.O~.-t 9&fs-
/ ~.d-O 9
I1speiJ Aue.
ZONING (office use)
PasD
LEGAL DESCRIPTION (office use only)
;;<JU1
LOT ;;( BLOCK
ADDITION
~) JClvn-e~ J. ~MC6het
(Address) Ii/- Zoq
PID d-5- ;JCJ5'"- 079
.~Jjf> q5z-403'-~OZZ
fr I ~'Y' LAk't! M.., s;-s 3 7 Z
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
ORe-Roofing
OLower Level Finish
o Misc.
eck
OPorch
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
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
enter upon the property to.,I!9"form needed insp . 0
/
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Contractor's License No.
~,:~.'? ~
." . ,;i'?'k,..:t
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 105,04
~:~ J/!/Jfoct
I ~~ceiPt N~ 7~~ I
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 /Lf'M7. It~ (]/1!'-0
TYPE OF WORK fJec/L
USE OF BUILDING S r:::: 0 2. '"1"8~
PERMIT NO/l O~- f'S DATE ISSUED p- /:J--Od-
BUILDER W~ _Q-Jnt:<.sh e IL PHONE # <{63 - 07'10
NOTE: TH S IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING I~. I f'//S"~,..
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
I FINAL Lit~ 1$- 2<{) -0'2---
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850