HomeMy WebLinkAboutBuilding 04-0245
OATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
}_). y-o 5'
ADDRESS
.(L{ff'1 f1vd/ ")
;:; (~
CONTR.
~. ).,'-i'-
, J
OWNER
PERMIT NO.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o ~LATION
~~I.~~L
o SITE INSPECTION
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 GAS LINE AIR TST
o
COMMENTS:
~c/(
~
_....~.-.~ ...---
-~::'-;~:'.-...-_.--
-----
=
=-
:
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECl WFOR RE'NSPEClION BEFORE COVER'NG
Inspector: owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
-t /1. 04-
(Please
ADDRESS
S4fJQ
.Ii' /t4 ~,Cf
(!,Itf-.
White
Pink
Yellow
File
City
Applicant
\ PERMIT NO'{)L/-c1'1~\
ZONING (office use)
e./
LEGAL DESCRIPTION (office use only)
LOT /'1; BLOCK -:) ADDITION L?~,u-v/~ /llIA,J ~ 7;lt
PID -z, J. 0]....1 . OJO. 0
OWNER
(Name)
Gill Y [Jell/tCL-
v:'J bIZ?'-'! 'L"I
1+ cp~~ 44? 2...2 t:;' '!i
(Phone)
(Address) ~~1.f91 (!>,(i'C>t.t
P l2.l'cvC LA t( C-
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK D New Construction Deck OPorch ORe-Roofing ORe-Siding OLower Level Finish D Fireplace
o Addition DAlter 0 OUtility Connection 0 Misc.
CODE: ~.R.C. OI.B.C. PROJECT COST/VALUE $
Type of ~ction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
I hereby certity that I have furnIshed mformallon on this application which IS lOthe best of my knowledge true and correct I also certify that I am the owner or authOrized agent for the
above-menllon pro erty 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 buildmg
DtTlcial can re ke IS permIt for Just cause Furthe. ore, I hereby agree that the CIty official or a deSignee may enter upon the propelty to perform needed mspecllons
JI '1- 9 - t:.t.;
x
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Firepl ce Permit Fee
Contractor's License No.
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ 4'0.'L.\
.. I
Paid
Date
610 :-~-o y
\ ~;"iPtNog;lf (~V I
ThiS IS to certily that the request in the above applicallon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner conslltutes a temporary Cerllflcate of Zonmg compliance and allows construction to commence. Before occupancy, a Cerl1ficate Df Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS 51./ " 8 rlJlJ I<s (Li yo
TYPE OF WORK O~c..k
USE OF BUILDING S ~
PERMIT NO. 0 :to- CL~ DATE ISSUED l./- q-~
BUILDER ~ _r., IA _AJ'2-f! I PHONEfjG3'4f-~~~'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I i,&{ [ L,\ -1U.i-J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
.... I II
I FINAL I fllV.? [ ~. )..t't' JIi I
FOR ALL INSPECTIONS (952) 447-9850