HomeMy WebLinkAboutBldg Permit 01-1159
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
s.7,OY
ADDRESS
409(P G/Z.fi//VWC/V {) 4rL-.
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:
ut-OS6
Del (3 7D
01. 1(59
I
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o --166 ~r
7l-I15 PI G5
/N,4CTI 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
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/t)~j'J" /1/30
I
ADDRESS
L/t? ;7 c:,
:1tL~ ' . r ~-aCIJ (1~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJl - I/s-q
o FOOTING 0 PLUMBING RI
o FOUNDATION 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: t..v - ~,
I'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~)7' '.<'.0Q<]
'-- . / ~:...J:, - / v'\
''-''''\_.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 & SAFETYI
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3. Yellow Applicant
(Please type or print and siM at bottom)
ADDRESS
'-iD q& 0.AfL~LI..J()I)d (J~
LEGAL DESCRIPTION (office use only)
!5 t{- b
LOT BLOCK ADDITION
"'
(Q~L1LJ~
OWNER ~'
(Name) G ero..Qd i n ~
(Address) Sti....-v'- '-Z-
m 1-11')(
(Phone)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
~e-RoOfing
OAlteration
o New Construction
o Deck
OPorch
o Lower Level Finish
o Fireplace
OAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
Date Rec' d
-
PERMIT NO,c? I-II S-1
ZONING (office use)
;tfRISO
~:
PID;g-J3).- ()(jlj-~
~ f;).. -~o9 - ?O i.f k
ORe-Siding
OUtility 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
:teru&~:L:=ne~ins():Lf /0 )J Jf) /
- Signature Contractor's License No. ' Date / ;
Permit Valuation
Permit Fee $ 74,1)
Plan Check Fee $
State Surcharge $ I ~ d-)
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
This Application Becomes Your Building Permit When Approved
Water Tower Fee
Builder's Deposit
lather
I TOTAL DUE
,e/i . Jl (L
Paid :th 7 ~ .' -
Date f 0.... rz:;- I
Building Official
Date
# $
# $
$
$
# $
# $
$
$
$ 0~,OJ
Recei.Qt Nj). "i!u II ()
BY~
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