HomeMy WebLinkAboutBldg Permit 01-1163
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5Z-u -;
SCHEDULED S. /, of
p;wsr fl. Ur<-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I. /1(P3
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 EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
D~-~r
COMMENTS:
6L-OS6
Dt/ e 7CJ
77-16 PI W
/N,4CTI VI rtI
/
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
Date Rec' d
IO-/(p "IJ /
I. White File
2 Pink City
3 . Yellow Applicant
PERMIT NO. Ol1/ / ~3
.~ ~NTNG (o"mre)
I' ;e/<SD
(Please type or print and si~ at bottom)
ADDRESS
5Z(p -; P;eo..JT ~ I
(V~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
~t--S Tl2JJ
PID 7/::;~O-O/~"'O
M () vI Y\ ( 0 c./\...
(Phone) q)' Z > 44'7. 4 3 Z-L
ress) "52 v "7-
--
r,"e.?:s'-/-
It Cl.e
:5 c-
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
o Lower Level Finish
o Fireplace
OAddition
/
~e-ROOfing
o Alteration
ORe-Siding
TYPE OF WORK
o New Construction
ODeck
OPorch
OUtility Connection
o Misc.
PROJECT COST /V ALUE (excluding land) $
I
I 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
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~u ..~is permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform n~ections ~ /. I,
X .. ~~:?'-~~ -- ~ . . ~I/{,IU
~ . e.' Contractor's License No. . " "'.
r . .
Permit Valuation 2r5()O, 00 Park Support Fee # $
7'-/-.75" SAC # $
$
$
$
$
$
$
$
$
$
$
$
$
$
$
$
Water Meter
Size 5/8"; 1";
I.z.,('"
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
This APPnj; jJjmes Y~~ding Permit When Approved
16f~ 10 ~t (, ,,() I
Building Official
Paid
Date
'7 (p . (f()
JD,./~-o I
Re~!lJo.
BY~;~/
'7~.o 0
(
;J:n,4-'
,
TOTAL DUE
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, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245