HomeMy WebLinkAboutBUILDING 01-1066
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.s: 7. ()f
ADDRESS
59/1
M /Z.,() r Ai I1L- If?A D G 6
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0/. IO~&
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 GASLINE AIR TST
o /}p'- g.6'IC
1--" I
COMMENTS:
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DIJff Ie)
7716 PI 06
J IV A e:r/Vl 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
INSNOTl
DATE TIME
V~Jt-O/ #r
~-)C/I/ fkd;'d Jlade; pm
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION (f) 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: " .~
i171 ctJ 1 iu,- ~<-y {~.f&F17;-n---J
v v
..........
~ 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.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
(Please type or print and sign at bottom)
ADDRESS
5W
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMP~RARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
t!tL~f)~L .grpC;;
I. White File
2. Pink City
J. Yellow Applicant
rRArl.
.5 r;,
LEGAL DESCRIPTION (office use only)
LOT /1 BLOCQ ADDITIO-rri~~ 1?) 'akJl?
(j
OWNER
(Name)
/nil/) 4- ~rLL L
5'u L.Lr VA}/
(Address)
I $I-
(Phone)
~;~)ER /JAO 15 fIiJrN' 1- ~ltJ)ow.s 1/011:;
{Contact Name) HEAlPY N ZJ1'~Bf~
(Address) p() ,&z; J J t' :J0 Miff>>
TYPE OF WORK
o Misc.
o New Construction
DDeck
(Phone)
(Phone)
f/t~ fJ!AA/~
DPorch
~Re-Roofing
o Alteration
Date Rec' d
PERMIT NO.O/_ f 0 ~
ZONING (office use)
PufJ
,
J
P1DdS- ()tfQ-v3/-C)
b/2-f!;,; .. <;~tJ-S
#J!fs. J
~OJ~t/
~Re-Si~~ '/,
:J ..G4--.:'1 ~t
Dlftility Connection
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 upo~JProperty to perfO]?rnee d ins~1tions.
X ~'l~/ /J/. ~1tA(/(/ ~ ~Ij.,~ d q-2t-dl
, , - Si re - Contractor's License No. Date
Permit Valuation
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) S
DAddition
$ 7t/r 7~
$
$ J"d:~
$
I $
I $
I $
I $
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid <$ 76 ,.00
I Date c,--;;;L6 --01
#
#
#
#
$
$
$
$
$
$
I $
I $
I Y' -;?t;.ut.J
Receipt No. i/v b~ /
By df~ ----
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 tempoT<lTY 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