HomeMy WebLinkAboutBldg Permit 00-0993
ADDRESS
SCHEDULED 1
J53(P '2 {:, ~ f?+ (2l
DATE
~e
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
fX)- '11)
o FOOTING
o FOUNDATION
o FRAMING
o INSULAT~N I
INAL tc-
~ITE INSPE TION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(~ ~ Jot?. ~ ~1f'"~(".t\.V.\~('
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~ALL FOR REINSPECTION BEFORE COVERING
Inspector: V~~ OwnerfContr:
CALL ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvve or print and sign at bottom)
ADDRESS
/53';;; ~# U
PERMIT NO. O(J~Cf193 i
r.;.~~:,:.
-<
zC)fIUNG (office use)
.ISD
I. White File
2. Pink City
3. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK
,
I ADDITION
J1AV65 2!)!.Q Lfl;/:::.-b AQON
PID z.s -01-6 - 0 OJ-()
OWNER
(Name)
(Address)
deny AfWDR
5/bJIe AS A&Je
(Phone)
95"""02
BUILDER
(Name)
~~I- .e~
(Phone) ~ /~ --5.?~ - ~?y
(Address)
TYPE OF WORK
o New Construction
ORe-Roofing
ODeck
OPorch
OLower Level Finish
o Fireplace
OAddition
OAlteration
ORe-Siding
OUtility Connection
U I ~I / ~rvJ ~
o Misc. ~.n ~~ +- ;;;75d.ult.A/tr.u..dd- PROJECT COST/VALUE (excluding land) $ .....J '-"t-/
~ 4f.w~ttL - &A-V'~ /-J4w/x)~T
I hereby ce~t 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
"'bmitt'" p~#; ,w= th" the b' ng nllidM con =nlre tbj, pmnit fm j~t co=. Fmthennnre, I h=by 'gree th" the city nlliC. iaI or a designee may
;k,"pnn~ t~n ""p""m" OJ()~351o?7 . //~~
/~ . ature Contractor's License No, / Date
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee:
1$
1$
1$
1$
1$
1$
1$
1$
I Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
Z/.OO
13. &5*
.sO
Size 5/8"; 1";
. ~
n~ Building penni;,! !~d
'" Date I
TOTAL DUE
I Paid 3 6. / b
I Date / / - lie . C 0
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
#
#
1$
1$
1$
1$
1$
1$
1$
1$
I $ 35. IS-
#
#
\
""
..
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS /53~ 2 FiSI-/ P / ,eo
TYPE OF WORK ~ /:JC/C,IL
USE OF BUILDING e&S rl//?
PERMIT NO. ()() .I)qq 3 DATE ISSUED /! /~ . 00 ,
, . .
BUILDER I?fJrrt-/1V CRJ/\/~C4 loAf
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
P'" "Ir' f' l J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
"Ji~'\M.lIB I I J
FINAL
'.1
Call between 8:00 and 9:00 A.M. for all inspections ,
FOR ALL INSPECTIONS 447-9850
"