HomeMy WebLinkAboutBUILDING 01-0146
s; 7,0%
3455 /WIN ISL-. Ute..
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI"
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TillE
()/, 0/4-&
o EXIGRADIfILLlNG
o COMPLAINT
o FIREPLACE RI
[J FIREPLACE FINAL
. [J GASLINE AIR TST
[J )eO ()~
(!;f-,OsF: 7716
DIJ H ~ I ( )
Plu6"
J /V "q e.;r, V I TV
I
[J 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 cl SAFETYI
_rl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
s- r:(.() I Z-~'oV
ISL. CAIz-
~CHEDULED
ADDRESS
(~lV0IN
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
[. ~JI{)P r-dff J..->.
I
2., :r'l-.~ (;.,." fl j
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Q ( - 14-0
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
D~. SklNE AIR T~
~ ~eo.\.' ~ T S - cJ
rp J?Ll ; i ~ j 1t- t l'--eJ \Ylat\ 0
c::;,,,,,,P,,1L- a./- C~(~~ '"
/'
~, ~r:- V~~.
,~ {;?
o WORK SATISFACTORY. PROCEED
o CORRE(~T ~ION AND PROCEED
X:O~dRK. CALL FOR REINSPECTION BEFORE COVERING
Inspe(',or: 1 '1/ Owner/Contr:
C~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
.3 - ~ -0 I
~. ~il~i~e ~:~y I PERMIT NO. 0/- 011 / /- I
3. Yel\ow Applicant 'r'"'~
(Please type or print and sign at bottom)
ADDRESS
3455 TWIN /SL//ND (!,/f<e.v6 NW
LEGAL DESCRIPTION (office use only)
LOT2.&LOCK ADDITION ?WI AI IS c-6S
OWNER
(Name)
ZONING (office use)
!€/SD
PID 2.5 -/00-002- ~
/'?/~6L- M/LL6
(Phone)
(Address)
BUILDER
(Name)-RLfIllOL/ ~A/~,RS/-'f)lIAfK:.._ t.. (,. P.
.. ,
(Address) 4345 OrlJ:::L)7J7 sr., 'P. t-..
(Phone)
(0/2,,- 447 - 2980
ODeck
fiRe-Roofing
o Alteration
o Porch
TYPE OF WORK
o New Construction
o Fireplace
OAddition
PROJECT COST/VALUE (exdudingland) $ 21 5tJO .00
OUtility Connection
o Misc.
OLower Level Finish
ORe-Siding
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
submitted plans. I am 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 the property to perform needed inspections.
.Y
Signature
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Contractor's License No.
$ 74.7S-
$
$ /. z5'
$
$
$
$
$
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
I Other
This Application Becomes Your Building Permit When Approved
TOTAL DUE
Date
$
$
$
$
$
$
$
$
$ 7(p.OO
I Paid 'l(P .(TV Recei1!{t ..3~()71
Building Official Date I Date . 3"-6- 0 0 By ....<..
ThiS IS to certify that the request m the above applicatIOn and accompanymg documents is m accordance With the City Zomng Ordmance and may ~oceed quested 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, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245