HomeMy WebLinkAboutBuilding 05-0881
DATE TIME
CITY OF PRIOR LAKE ~.l4,6&
INSPECTION NOTICE SCHEDULED
ADDRESS I SO.~ yt1a~..bu R. J.
OWNER CONTR.
PHONE NO. PERMIT NO. .~ - ~~ t
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
MSULATION o SEWER HOOKUP o FIREPLACE FINAL
INAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
^ '" I
_I _" I f /I J.: { .p
L.-\ 0 ~ 7 .. "" I.' ,
o WORK SATISFACTORY, PROCEED
o CORRE7?iCA N AND PROCEED
o CORREC WO , CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
~.
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERUJ41CATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
tJ ft?-. o~
I. Whil. Fil. I PERMIT NO ~ 61
i ~e1"tow ~~:licant . 15, 0 au
(Please tv1Ie or vrint and sillJl at bottom)
A.uv&ESS /503'7 /J?IVvl'?:?vt t)/). ZONINGCofficeuse)
pa,O(l. t..~CE I IVlJJ $5371-
(
LOT 8 BLOCK
LEGAL DESCRu uON (office use only)
ADDITION tAJP p.s ffA y
OWNER
(Name)
(Address)
PID ZS-. 05/. (Jo8.0
(Phone) 6/].,. .?J?[;;'-//DO
PR10~ LAKE .MAl SS3?1-
(phone) -2f-: 1- ? fi(.. - t'J~.;
(Phone) 7~3- 22/ -11J.S'"
.~Ht?7,~K~ /PJAl
TYPE OF WORK 0 New Construction DDeclc OPorch )(Re.~ng ORe-Siding OLower Level Fimsh 0 Fireplace
DAddition OAlteration OUtility Connection }fJ Misc/lOO(z..) O~/U'Ylaes ()N 4,.rr.n&6
CODE: OJ.R.C. OJ.B.C. PROJECTCOST/VALUE S l~ aoo
Type of Constnlction: J n m IV V A B (excluding land)
Occupancy Group: A B E F H J M R S U
Division: 1 2 3 4 5
JE1='t: OfJi..~V
IS' 0'$7 mAN} TOIA oa.
BUll.DER /)
(Company Name) M6.H'rt>/-vY 6'''''OUI5
(Contact Name) -.l1'/I1..~ enld/d.;-r
(Address) /.ry /0/9 t-IN/<:OLAJ S'I A/.G Julle,c
I bl'l'eby certify tbat I have furnished mformation on tbis application which is to tbe best of my knowledge tnle and comct I also certify that I am the owner or authonzed agent for the
above-mentIOned ,,'.,...J and that aU COllStnlction will conform to aU existing state and Jocallaws and will proceed in accordance with submitted plans. I am aware that the building
official can rev1:e. tb~ P?~h.' .....'.. I bereby agree that the City official or a designee may enter upon tbe ".'.", to perform needed Inspections.
X /~;fA.;/,., Be.. -;'01.1':),9061- ?-IZ--O.r-
, ./ Signa~/ Conttactor's License No. Date
Permit Valuation
Permit Fee
I Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
I Other
I TOTAL DUE
I Paid '7~, V/
I Date t7. /&./. t r
This Application Becomes Your Building Pmnit When A.. ,'" ed
Buildinl!. Ollicinl
Date
# $
# $
$
$
# 1$
# $
$
$
$ 7~.oO
()
rg; No ~1I9 ~S-
ThIS IS to certify tbat tbe request in tbe above application and accompanying documents is in accordance with the City Zoning Ordinance and may" ....J as requl'Slcd. This document
when signed by tbe City Planner constitutes a t,...~_...ry Certificate of Zoning compliance and aUows constnlClion to commence. Before occupancy, a Cl'l1ilicate of Occupancy must be
issued
Planning DiRctor
Date Special Conditions, if any
24 hour notice for all inspections (~2) 447-98!lO, fax C~2) 4474145
16200 Eagle Creek Avenue Prior Lake, MN 55372