HomeMy WebLinkAboutBuilding 06-0972
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o F~MING r
o JNSULA~
FINAL tJ6
o SITE IN IgN
COMMENTS:
DATE
BNO~
1098 : {(1'7 26- 1I~~9{) -/~t5tJ
( ~ ? 2 ~ONTrf.' 7~ l:$T.,-., loU. Ie )..--
PERMIT NO. f.,-?7~r~-17'1... ~-f/?l.
~- 971 .
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
SCHEDULED
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
L U IA..L: k
4 ^
I 1/) /)/'
(' Joc;Ra-f/lJ. t-v W
"'-"""", - -....J
TIME
cJlWORK SATISFACTORY, PROCEED
o CORRE7j;T ACTION ND PROCEED
o CORREC WO ALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL ~7-9~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CPlcue tT?C or prim anll $gu ;at bottma)
ADDRESS
( 005f)
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF WNING COMPLlANCt.
AND UTILITY CONNECTION PERMIT '
Date;. Rcc' d
OCT 2 6 i006 !
I. WIlk. P1I,
2. PI nil ell'
J V,/1u- AOPl;....
I PERMIT NO. (,. q 72-
Rl( l.~S~ A-cw SE=
ZONING Corllcr \lit)
LOT
BLOCK
. LEGAL DESClUPTION (offi~ use only)
lL.e~~e\ ~ri>~~~ X. LP (PL..~(B~) 7b3.l(7t,-67s-K
( <:::; 7 ~ L{ +o.le... '(t Ave I ~Ie \ ).:,.ll ef rI)", y~ (d-1
~+- (phone) 7/,3"' 7~'3'.~1 _
BUILDER r-.. - () ... J \
(Company Name)_ \ ~ ~1 ~
(Contact Name) .t-=Ql'.. ~
(Addre$s) \ J () ( ") Q <.. iJ Lrl
OWNER.
(Name)
(Address)
~
'-=
-
ADDITION
PID
t'-lE.
(Phone)
~ (,,-~~ MN. ~t{'f7
TYPE OF WORK 0 New Conltl'Ucnon DDeck DPoreh ~Roonng ~.sidinB
DAddirion OAlkriltinn DUrili1y Connect~ . 0 Misc.
CODE; Ol.R.C. OU.C.
Typ~ ofConmuction:
Occupancy OrGup:
Di...isil>D;
Dl.owcr Level finish
o fl/'qlIACIC
s 43, ~)D
A
I
B t;
PIlOJEcr COST IV ALUE
<ndudin, land)
II
F
1
mIVVAB
HIM R S U
2 3 4 5
I bon:by entity th~l I h.1I~ n.rni$~~ information on .his "9l'1ieano., wlllell is to lhe be., or Ill1 knowlcd~ llUC lAd cortca. I also calit)o 'MI I am .11<- ....m~r... .uth.'fi<4'<l ..cn, r,K ,n.,
.bovNnt'llI~...., ~1l4 clul all CQI1illll ion will conform 10 11 cxiJtinc Itale and loeall;a"" and will p!OC'Ctd in occonUnc:.: wilh Il&bmiued plan&. I am a"'~'e IMllbc buildllll
:rT.oOI can.. \..~ '"li. 01 ~ J st. I' b~nno~. I.by lllall... ell)' orrocial Dr ;;So l''' :':;" ) 3l ~pcrform nttd.'d IIlSpcedon..
~illl'lalUrc Conlr.aceor's Llcciuc No. DalC
, Permit Valuation
Pcnnlr Fee
I Plan Check Pee
I State Surcharge
I Penalty
Plumbing Permit Fee
Meehanical Permit Fee
Sewer &. Wa~r Pennit Pee
Gu Fireplace Pennit Fee
S
$
S
S
S
S
S
$
Puk Suppol1 Fee
SAC
#
"
IS
I S
I S
s
s
IS
, s
IS ~_
IS, II
I WarerMl!ter SizeS/8"; 1";
I Pre~,un: Reducer
I Sewer/Water Connection Pee
I Warer Tower F~
I Builder', Deposit
Other
TOTAL DUB
N
##
no. Application Ilccomes Your Daildlnl PmnJt When A...," .J
Paid .n-
Date /~.~. _ .:;
9uildins: Oll1einl
ODIC;
nlll is 10 ~ity llllllll~ R'll"osr in Iht abu.c &ppli..ti"n ond o""ml'lnymll donImmalJ In IttOI'6&ncc will! tile City Zoninl OnlinllKC olIId lTloly J>lO"n:O ill reqlK'ltW. Thilll,,,ymcnl I
Whtn 'icn~'d by the Cily P1annt:r eonsl~UI" llrnlP<XilY Ccrtilir:alt or Zooll'lll (""!pI.I"'" ..,,11.1~>W1 ."".lnIt'1ion 10 ('O~IlC't. Bcm occupancy,. C...nneale "rOccupancy mUll ~
iasucd
PlmmlDll D1ra.'Ulr
01>2' d
0.10 Spcdal CCllldltleu.. If ""y
z.f tIollr noliet for 11Iln'Pfctlonl (9~11"41.'8~. fall (~2) 447-414!l
16200 HasJe Creek Avenue Prior Usle. MN 55372
82.. 950bb2S6 : 01
:WOJ~ 8t:tt 9002-92-1JO