HomeMy WebLinkAboutBuilding 02-0730
DATE TIME
CITY OF PRIOR LAKE ,-I".d~ I
INSPECTION NOTICE SCHEDULED ~
ADDRESS 2fo /0 5fl'iw:t ~ Lk fp(
OWNER CONTR.
PHONE NO.
PERMIT NO.
A - 71CJ
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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FiNAL
o GAS LINE AIR TST
o
COMMENTS:
=c~d-&{?(e J~ ~ M<lC~
n.emQ G'A&fJ..~ H, ~~..tl OW~ r'\1oW-c.~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
~
CALL -9850 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
;;,- /(1'- Or-
ADDRESS
Date Rec' d
~. ~i~i~e ~::y I PERMIT NO. /0-0130 I
3. Yellow Applicant (/~
L::-L )~ e_ '1k c:L
ZONING (office use)
R 1 sJ)
(;/0
LEGAL DESCRIPTION (office use only)
LO-b2 BLOCK
~
PID
3/- ~/7-1
ADDITION
OWNER
(Name)
Dref\-t- M r--\ 'i-n 0 AO~
c;l <0 '::>
~(l nrJ rf'f\
(Phone)
(Address)
BUILDER I /1 .. -
(Name) Co / ~ w A.j ~~-S
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
Deck
OPorch
ORe-Siding
o Misc.
o Lower Level Finish
14,^r.l"lA
PROJECT COST /V ALUE (excluding land) $
ORe-Roofing
o Fireplace
OAddition
o Alteration
o Utility Connection
I hereby certifY that I have furnished information on IS 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
~;=ctions. hi /t;lo~
Signa~ Contractor's License No. ' , Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $ tJ .50
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
es Your Building Permit When Approved
~- t8 ~o(_
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 $ 3?z.7
I ~ce;ll4230'7
Paid 33.: l::. 7
Date ~-/f1 - o' Z-
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. I
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~~J() S,o~"U L..C::c.. M
TYPE OF WORK Reo.~ Z:11+~ l~"d d- ~~l''-
USE OF BUILDING S t=D
PERMIT NO. tJz-013o DATE ISSUED ~ --fa -02-
/) w. 801-01~'2-
BUILDER "~~~ PHONE # 1-1. ~C/5. q~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS B'ELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
I~ I I
I FINAL I I
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850