HomeMy WebLinkAboutBuilding 02-0600
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS &t:X..o. c..{
(SO ~ sn-.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
,)1*
TIME
;:z -- &00
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FiNAL
o GASLlNE AIR TST
o
ll~sp~ 1L Joe -k I'Vla:c~'V.~
~A~~
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 5~ d:3 -O~
~OG,<f- /3-0 77t ->T
LEGAL DESCRIPTION (office use only)
LOT 0 BLOCK 7 ADDITION
I. White File [ PERMIT NO J
2 Pink City "()z _ o/~ oc)
3 Yellow Applicant _ (R _
ZONING (office use)
I<ZIJO
Of f7J1I tJ 00
OWNER
(Name)
&-eOtry<-
f
t3. It! &/2- ( 1<' C.
~/') ~Ji ~
/ if> C/ - '::i r~,
(Address)
60 0 Lf
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
'1 ~ ~ Lj '-I ?-~.J. /'7
V,- 0'# t.q 1'0,
hi?
e;-S"3?~
(Phone)
(Phone)
TYPE OF WORK
o New Construction
OLower Level Finish
O M. f?enkce ..Q;(C/S/" OecK
lSC. r
~eck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
C900.
.<0'",
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 aU construction will conform to aU existing state and local laws and wiU 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 ~roP~~y07eeded inspections.
X .d ;- ~:.: ,,- ~~/a.;J...
Signature Contractor's License No. Date
Permit Valuation '? .1"11",.1") . (!) 0
Permit Fee $ e~ '2$
Plan Check Fee $ 54 -II
State Surcharge $ I. ~-o
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Your Building Permit When Approved
5-t LJ ;~
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
SewerlWater Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTALDUE~O eAJ2Al 5"- u.. oz.,.. $ /313. fJ(p
f~:~ 1~~;!'Od-- 1:;oo;coJ~ 1/1
1
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 Certificale 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
'Of!
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS (Hn <{ ISQ g~
TYPE OF WORK Qec k. B
USE OF BUILDING SFD
PERMIT NO. 02 - or; 00 DATE ISSUED !>. 2 <(' - Oc:.
BUILDER ~ f:: a.. 7(k: c.. PHONE # qt
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
=
INSPECTOR
PLACE NO CONCRETE UNTIL A
l~ I
LFINAL . 1
-
_ T ----...
OVE HAS BEEN SIGNED
I
I
DATE
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
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