HomeMy WebLinkAboutBldg Permit 01-1225
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Is/eo
SCHEDULED /. 2-' . 09
/
f11111V/ rvv /GLJ .
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/ . l2--z5
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 crt~.
fl1 erex-
COMMENTS:
uL-OS6
Dt/ e 7D
71-115 PI vb
/N,4c;TJ VI TV
/
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!
1NSJtOT/
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
; ~i~i~e ~:~y I PERMIT NO. f)/_/") 'I C--
3. Yellow Applicant U cr-r7- J
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT3 BLOCK I ADDITIONf?t2<1--K)bl--1~;/.A
, ')
^ \
OWNER ,.f II
(Name) 0 14}11~5 17- FJ~~/t/~~-
/'5/ S::O
(Address) t~~
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
/}1d,v//-ov-- 'Pd
P'/SD
I~)J j4)~~
u
PIDd5'- ;l53 - ex) ~ f
(Phone)
t?J:l.-tflji 701. J r
(Phone)
(Phone)
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
C.. /\ t\. V O~~evel Finish
o Misc. '::.H1 \J. _ "7 V ~
~"P~ --D DAddition OAlteration
JJ,JhCT~~ALUi (~cludingland) $
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
autho . ed 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
suqmitte plans. I am aware ~t the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ent up the propertyr!erfo;Jn: ~eeded inspecnons. ,_~/ /-
X J . N- IlL 41A _. _ /<;7.df / tV
f en Contractor's License No. Date
~ v- u
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$ 1-!(),aU
$
$
$
I Park Support Fee
I SAC
I WaterMeter Size5/8rl';)
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
# $
# $
$ d-.50ll(}
$ f1() r01J
# $
# $
$
$
$ 3t.oo ,ev
.....--.
Builder's Deposit
I Other
I TOTAL DUE
I Paidt::J~~n; D
I Date I/J~ gq '-0 I
Receipt No. ';(V; ~:./I
By c? C/
U
This Application Becomes Your Building Permit When Approved
Building Official
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