HomeMy WebLinkAboutBuilding Permit 04-0066
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
ADDRESS
/5? '<()
SCHEDULED /. 2S. Ot!
I
1/19/ /G.l..,/1 I'll AI .s HtJ ~ .s
OWNER
CONTR.
PHONE NO.
PERMIT NO.
+-~(p(p
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 EXIGRADIfILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ GASLlNE AIR lST
~ R..dlJF /
.sloe
COMMENTS:
~t.-OS~ 771'6
DIJf5" . 10
PI 06
i/V/JeT/VITV
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
INSfiOn
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~i~~e ~:~y I PERMIT NO. () ~/-- ~. /,
Yellow Applicant <....c::; (c:
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
~~ZUt/J1~/;'~~
/6 ~ 3CJ
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
Chrt<,
/2-.0 0 v\..y
(Phone) 15 ~- ~ 1 D^'5Sc~
(Address)
BUILDERy
(Name)- (' q- AC ~ c,,\.
(Contact Name)- F l r;
(Address) a l[ 0 v cd t'€.. y
,
TYPE OF WORK
JI '3/
X')L<11 ' .~
PID .?L)' 13t.:, -{)39- 0
Lo~t ,,"tU~ /r;;
(Phone) fe i;;L - ,11' - u '2/5
(Phone)
Jc rcAc~ v\ MJV S S' ~ ,~- .~
I'
Vi'
~_w
Or-
ODeck
\. ;'
ARe-Roofing
/ O\lteration
/
~ding
OUtility Connection
OPorch
o New Construction
o Fireplace
o Addition
o Mise,
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
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
exnter upon ~;f. o~ t~f~~eded insp~
5 A~ ~ ~o~t.1D;t()S- ~A~tJ~
t/ Signature Contractor's License No. Date
Permit Valuation ,;;LSc~C~ . - I Park Support Fee # $
7LI/ 7:) I SAC # $
I Water Meter Size 5/8"; 1"; $
/ ",) ~ I Pressure Reducer $
I City SAC and WAC # $
I Water Tower Fee # $
I Builder's Deposit $
lather $
I TOTAL DUE $ 70,--
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
----
This Application Becomes Your Building Permit When Approved
Paid
Date
7;', .
:;.=- ~/ /y~4
Receipt No. l/5;.y ~-..:)
By r::.. ,/
()
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
16200 Eagle Creek Avenue Prior Lake, MN 55372