HomeMy WebLinkAboutBUILDING 01-1327
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/. Z/. 09
ADDRESS
41z 7 $/UJUCi/I'I't'7 .t1~I/LJ.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH R1"
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~'-os ~
DIJe- 10
0/. 1.32-7
/
o EXlGRAD/fILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
ar::~..- . } ~
-\~ .. II.....
7716 Ft LE"
j /V?J e:rIVI TV
I
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSIIorl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1/- 2-1-0/
(Please ~e or mint and sign at bottom)
ADDRESS
4/27 {JeoUCjI-Jfll"1 tf't.-VO.
I, White File
2. Pink City
3 , Yellow Applicant
,-tit'
PERMIT NO. r;r:'/3 L 7
~~NING (office use) I
. _ ,;....,.,..~ -r
0: ~Z-I
LEGAL DESCRIPTION (office use only)
PID ?c:;,-z..f(P - tJzs-
I
-~
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
J_ ~, ~ (~"
(Contact Name) ,....~-;:l::=- /(UffR.
ress) 'f Lj 5/ ltuJ / ni/M AlA H' . Sf-.
rrvl/J.
)
(Phone) (IZ-- -)~/-/~6j-
(Phone) h/2--hF/!:"--fJCj 4pj
J IV/IV /is-'1lo/
TYPE OF WORK
o New Construction
ODeck
o Porch
o Addition
ORe-Roofing
- ~h__'_ ---1
~Re-Siding
OUtility Connection
OLower Level Finish
o Fireplace
o Alteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 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
SUbmItt?l/ePlans am aware that the buIldmg offiCIal can revoke thIS permIt for Just cause Furthermore, I hereby agree that the city official or a designee may
enter upon p erty to perf or e~spe ons, ~
X -; ',_,_ 'r:- ,d //:/A --.. IJt/'/ h (5 J
/ Contractor's LIcense No
II
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
---I
I
I
2~ 5""dV. dV
$ 7 tf. t r
$
$
$
I. ~r
I Park Support Fee # $
J SAC # $
J I Water Meter Size 5/8"; I"; $
J I Pressure Reducer $
I I Sewer/Water Connection Fee # $
) I Water Tower Fee # $
j I Builder's Deposit $
I Other $
I TOTAL DUE $ 7~. 0 ()
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
I $
I $
I $
I $
This Application Becomes Your Building Permit When Approved
pJJJ#- II~zJ-OL
Paid
Date
-
'/&, . ()U
/1- 2.'-=a-/
I Recri 1'#-
I By
..... -
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.
Planning Director
Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372