HomeMy WebLinkAboutBUILDING 05-1090
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
-2.c/o /'
OWNER
PHONE NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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SCHEDULED
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CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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DATE
~Mt, TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~'""RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~77~R REINSPECTION BEFORE COVERING
Inspector: ~ / ~ner/Contr:
--
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH &; SA.FETY!
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CITY 0' PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Date Rec'd
I J).027()
~,~ ~~ I PERMlT NO. 05. /070 1
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(P~ase tvpc Of IJritlt and ,iv:J' .u bottom\
ADDRESS ' ZONING (IlIl\ccUIC)
:3 Lj D 7 S P fG La2(=' 772>>; / cS': Ij),
LEGAL DESClUr J JON (orner. UIC only)
LOT
BLOCK.
ADDITION
PID 25: /7 z.. 014- _ 0
. OWNER
(Name). L() (-tJ "",.11 --4. IE:/)el vnJ (Y.,1-112isT eV1$en (phone) .qC;~ - ilt/7- ??,5/ 9
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(Add.rcss) 340'7 Spp'./!~~ l(U1i/ .-5./-P1 f&{oR..- if! Ke. m/'/ ,L:;C:;3'7~
BUILDER
(Name) ~v.&~"f'>T €~TeRJct2- <, J .:elll C: .
(ConcactName) _ T!v.:\SS,) e. ~j ~~
(Address) 80 I "r )1/ (coli el It u c>. ,SOU- Th
TYPE OF WORK
o New CODItNc:tiOll
OLowcr Level Flni,h
ODedc
o Fireplace
(Phone) ::L$"a - ><81- J~/-3
(phone)CjSd -88?-/h/.3
t3 loom /nyn, /?JA/ C;-C;CfdO
OPordl
~.RooftDg
OAlteration
ORc.Sidio,
Dl1tility Connection
PRomctCOST/VALUE (excludiDgIIDd) S l eJpOI . 00
o Misc,
DAddilion
1 h..by certify that I have ~misbed inronnarion on this lIlP1icariOA wlIidl is rD tile best of my knowledp trUe ancl..... .... 1 also cenif'y that I am !II! owner or
authorized .Sellt lbr the aboYe-mmtioned ,.. Of' O'~. and. tIIat aU C;OlUtnIClion wiU collfonn lO an exi5rlnC sratl! PICS toc:a1lawa aDCl wilt proc:nd 111 aa:ordance with
sulJmiaed pliDS, I am aware: that the bulldilli official an "voke this pcnnit for ju.t eaUH. Farthermore. 1 bereby awee that the city o8iciaI or a detipee may
ertter "pon the property ro perfOrm needecllmpections.
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Contiactol" Licnse No.
Permit Valuation
Permit Fee
Plan Check Fee
(o~Dl, DO
10 -c2~- 05
Date
$
S
I S~tc Sw~hai'gc
s
Penalty
I Plumbing Permit Pee
I Mechanical Permit Fee
I Sewer &: W Iter Permit Ii ee
I Gas Fireplace Permit Fee
s
s
s
S
$
This Applic:aUon Becorrw. Your Bui1dln, Penn it WbeIl Approved
Sulklm, Official
D&t.
Park Support Fee
SAC
I Wa~ Meter Size S/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fce
I WaterTowerFee
I BuilcSu's Deposit
I Other
I TOTAL DUE
Paid '7 r~ . rv
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I }lee_ No. SV.:r ~
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Thll is 10 ca1ilY lhal th~ ftq\le$11ft d;; .bove applic&1lon Ind Ie.. .'" 'J ,. doc:ulllCl\lS Is In ~1IftC'e ..ittI the Ci1y ZCllll\l Onlllllll<< IIlIl C\I&Y lKocctd u R:qUISIId. nw docullll:ft!
wIler\ sipccl by dI. City 1'\&11118 coDStlIl.IW II."" . " ry Ccniflcur of Zonllll compliallc. &1\4 dOWI mtIllNctlotllD ..."," ,IICC. Before _PIUlCY. · Cttdf\aleofOa:upaDCy-\Ie
iallcd.
P1l1l1linl Director
0. Spccill Clltllfitlons. if my
14 hoar aotice for .11 iaspcctiolU (951) ,u7-9t5D, falt (951) ~1"'%45
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