HomeMy WebLinkAboutBuilding Permit 04-0596
DATE TIllE
CITY .OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/, Z.5. OJ'
ADDRESS
/6'438 FOf<.S~ teI:J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4 . 5f(P
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
[J FINAL
[J SITE INSPECTION
[J PLUMBING RI
[J MECH RI
[J -WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
o MECH FINAL
[J EXIGRADIFILLING
[J COMPLAINT
[J FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
~ SI.PI# 7'
COMMENTS:
(!." ,-,OS FS
Dll FJ I ()
7716 PI 06
I /V A e...T/ V I TV
I.
. [J WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
[J CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADV" "I~~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lJGIion
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
e.~. (Phone) 'i5"J' I~ . "M
(Phone) 452 . J,fi1,.. tj"14
"B-1'? ~ T,J.,. AAIV SS 4/7- 0
I White
Pink
3 Yellow
File
City
Applicant
(Please type or print and si~ at bottom)
ADDRESS
/5438
,.C(Jte-f'l77t& ;?t:)
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
(Phone)
(Address)
waD~ . I '
(Company Name)Jv1. N.Jf:~- .".. WI ~J)6,,", f
(Contact Name) ';&,o~o&..c...,""~
(Address) -t",,(J1 ('t",..!OlliH_fS A~
S;J>J.Jti
.s.
Date Rec' d
~. /7.01
I PERMIT NO. 04-. 0 57~
ZONING (office use)
PID '2-6. 648.01 b. 6
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing MRe-Siding OLower Level Fimsh 0 Fireplace
OAddition OAlteration OUtility ConnectIOn 0 Misc.}"(
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE $
(excluding land)
I
E
II
F
I
x
I hereby certify that I have furnished mformatlOn on this application which is to the best of my knowledge true and correct. I also certIfy that I am thc owner or authorIzed agent for the
above-mentlOned pro 'ly and that struction w1l1 conform to all eXIstIng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildIng
official can rev e. t f u ause Furthcrmore. I hereby agree that the CIty official or a designee may enter upon the property to perform needed InspectIOns.
Signature
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Water Meter Size 5/8"; I";
Pressure Reducer
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
7 (, . C/U
~ . / (, . g 'f----.
Paid
Date
I. -tc..-,tf
Date
# $
# $
$
$
# $
# $
$
$
$ '7 ~~() 0
Rec~yJNo. -f'(,!3w
By-~
Buildlllg Otlicial Date I
ThIS IS to certify rhat the request In the above applicatIOn and accompanYIng documents IS In accordance with the City Zoning Ordinance an~( 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
24 hour notice for all inspections (952) 447-9850. fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any