HomeMy WebLinkAboutBUILDING 01-0753
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
6-:7,0/
ADDRESS
483 Co O/l.K<J711 sT
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01, () 753
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
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o ~ ~ I'~CJ-r1"r
COMMENTS:
6f-OS6
Dt/ e 7?J
71-115 R e,,6
IN/lc:T1 VI 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 & SAFETY/
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or Print and sign at bottom)
ADDRESS .
Cjr-3~
I. White File
2. Pink City
3 . Yellow Applicant
I PERMIT NO. 01-0 153 I
~D~~
LEGAL DESCRIPTION (office use only)
LOT
If', <;
BLOCK
ADDITION
PID
OWNER
(Name)
f<d V r~Ay'
~f-3~ lJCL~ C:;;;r/
(Phone) Jji)- -~. Cf ")-t 11,.6
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-mentio d property and that all ction will conform to all existing state and local laws and will proceed in accordance with
sUbmiC?e ns. I a aware that e b i. 0 . I can oke th. permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter on the 1ro to perti nee s ti s.
X .- / 7-Jo~OI
I ~,~
I $ ? 4--. ~
I $
I $
I $
I $
I $
I $
I $
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
OPorch
OAddition
~e-ROOfing
OAlteration
o New Construction
ODeck
OLower Level Finish
o Fireplace
o Misc.
PROJECT COST IV ALUE (excluding land) $
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
#
~tractor's License No.
I Park Support Fee
I SAC
#
Water Meter
Size 5/8"; I";
-
/. z...r
Pressure Reducer
Penalty
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
#
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
#
Date Rec' d
7- 20-0/
ZONING (office use) ,
ORe-Siding
OUtility Connection
Date
$
$
$
$
$
$
$
$
$ /Gt .00
Ther}7JZYOWBOOWngp~::~
Building Official Date
'i(" -00
-; . 7/J .f) I
. ,
R.ec:1Uoo
By P \../
I Paid
I Date
4v1S:'2.
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, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245