HomeMy WebLinkAboutBldg Permit 01-1256
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
5,7, at
ADDRESS
17?-&4- St/ tJs6T 7JlA1l--
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I, /Z~C:,
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 EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o -!3C""",~
COMMENTS:
6L-OSE-
Dt/ e 7D
7H15 PI ~
/N,4c:T1 VI rt/
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!
lNSNOTI
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
I. White File I PERMIT NO I
2 Pink City '/J j- I l,r-I
3. Yellow Applicant L.. c::r-~
J ~7J--~ L!
,
,
bJI/)t,<u-+-s1, 1__"
LEGAL DESCRIPTION (office use only)
LOT ,;0SLOCK
-;.~ /8 I \
ADDITION . -ru.-~ ~1/t/'-(e' t C/ _ ~)2 tL C-"L/
OWNER
(Name)
~i/'[) H~..;c~
~L~/
(Phone)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
~e-Roofing
OAlteration
o New Construction
DDeck
OPorch
OLower Level Finish
o Fireplace
DAddition
DMisc.
PROJECT COST /V ALUE (excluding land) $
ZONING (office use)
f? IS'!)
PIDdS-/3,),- C'II::,-O
!:c' 7 - 263-7.5t/7J
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 aW~lliat ~e bUild.~'ng ffiC. ial. can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to erform te~,e . ons. . .
X &/'-tl~o ~(yk 1/- 2- ,- 0 J
Signature # Contractor's License No. Date
Permit Valuation
Permit Fee $ -; if, -75---
Plan Check Fee $
State Surcharge $ /- .J t)
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid '7&. ()U
I Date II~ ..< -0')
Building Official
Date
#
#
#
#
$
$
$
$
$
$
$
$
$ 1J6 r ~~~
/
Receipt No. yuf//} G
By L,~
~I
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
16200 Eagle Creek Avenue Prior Lake, MN 55372