HomeMy WebLinkAboutBuilding Permit 03-0670
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/SS-fc:- Sly;;~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
f\ VI,) -h",
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
If: Id;r
off
hIt?
DATE TIME
r..-j 6
J.-t, 7f)
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
l'
v,l..
{
e-WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: !ftI ~. ( 1- ff7> OWner/Contr:
/f/\(-_
1/\ U./\..
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETY!
UiSNO"
(please type or orint and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY C.ERTIFICATE OF ZONING COMPLIANCE
A,ND UTILITY CONNECTION PERMIT
Date Rec'd
6,2--. (jj>
I. White
2 Pink
3. Yellow
File
City
Applicant
I PERMIT NO.(l3' ..()(y,O I
ZONING (office use)
SK.AjL-1 AlE-
~
/55q5
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
.. .
:?r?b- UtJ91
~':~R C hrtshoher :T /)UOO/',!--
I
(Phone)
(Address)
BUILDER
(Namel
(Contact Name)
(Address)
(Phone)
(Phone)
... - -
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 a.t 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 pl~ 1S 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 'prope, to perform needed inspections. /
X U~~
TYPE OF WORK
o Misc.
r Permit Valuation
I Permit Fee
I Plan Check Fee
\ State Surcharge
I Penalty
\ Plumbing Permit Fee
1 Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Dporch
~
Re- Roofing
Alteration
DUtility Connection
ORe-Siding
o New Construction
DDeck
DLower Level Finish
o Fireplace
DAddition
PROJECT COST IV ALUE (excluding land) S
Signature
Contractor's License No.
Date
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
\ Builder's Deposit
Other
#
#
TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
LDate
'/fJ,. (/V
(p. '2 .o?
Building Official
Date
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.
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
Planning Director
___,M_ __._.____.____~.______.___M___..._ ..---~,~....-.--