HomeMy WebLinkAboutBuilding Permit 04-0728
DArE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
6.23,0;/
ADDRESS
It., 135 cST. P/JUL-- /JlR: I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4'.72-8
CJ FOOTING
CJ FOUNDATION
CJ FRAMING
CJ INSULATION
CJ FINAL
CJ SITE INSPECTION
CJ PLUMBING RI
CJ MECH RI
CJ WATER HOOKUP
CJ SEWER HOOKUP
CJ PLUMBING FINAL
CJ MECH FINAL
o EXIGRADIfILLING
o COMPLAINT-
o FIREPLACE RI
o FIREPLACE FINAL
gj'ASLlNE AIR TST
r Ih:,T.
COMMENTS:
~,-,osF:
DIJ e- I ()
7716 PI u6
j /V ,?) eT/ V I TV
I.
.0 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/
IMiton
\.;11 i OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERIUICATE OF ZONING COMPLIANCE, '
AND lJ IILITY CONNE,-- I..ON PERMIT
Date Rec'd
~: -=- ~~ I PERMIT NOof/J? ?!- 7 ~6 I
] v...." ,,,,'.
CPIaIe lY1Ie or Jriat aacllia at " . .., ,I)
~ ~ AESS
\ ~ 1?'~ .St. ?CLi.., i
y; \11
LEGAL DESeRt-: i.~ON (office use only)
If I (q 0/ 50 10':;:k)
LOT BLOCK ADDITION
-) /I~
,/ ,~' 7 ' / 1 , .'
((/J~7lt..J:..tLo (. /(L \ " "
PIr0~ - 00 L/ - 0:) to -()
OWNER.
(Name)
R~c..~ G\(t.~ t LkL ~r)foL~
Ilo\.35 St.fa.~L
- ZONING (ClfJi<< UR)
k~ :L
(Address)
{-.\-Ot ,
(phone) %z.~ <J1D'~ t59?S
? ~ .
<.: \ 0<<.. l_o t e
I
BUILDER 11 C /1 , . .
(C.........nyName) t/Ift{t/j P.v--./ LDn~teu dP/J'1 L,C-
.!-r-- II I 0
(Contact Name) I Am t4rcc/. ev~
(Address) Cf c5s.n. /!lie .::-.;. 5+," U W"t 4r ~r tIJ7 n
) Mfl.
(Phone) Pi-<j39-7izs~
(phone) 05'"1-)- "'Js- ZZ:z..8
~5 c:8 '"2--
TYPE OF WORK 0 New Construction ODedt OPorth ORe.Roofing ORe-Sidina
OAddition ~teration DUtility ColllleCtion 0 Misc.
CODE: OI.R.C. OI.B.C.
Type of COIIItIUdion:
Ocaapaacy Group:
DiTisioD:
DLower l.eYeI Finish
DPireplace
I
A B E
n mlVVAB
F HI MRSU
1 2 3 4 5
PROJECT COST/VALUE s GS'60~
(acbuIiDg land)
I hereby certify thaI I haw fiInlitIIId iaformalion 00 Ibis appliallon which is to the best of my knowledce _1Ild l'OIm:I. I also certilY IbaII am the owner Ill' authorized aJlelll for lhe
abot .. '. ,., .' .. ~.~ and lbat aU COIISlI'UCliDa will ClIIIftlnn to aU ex.istinc lUte and Iocall.ws and will ,.... .. . J in a<<ol'lIanc:e with IlIbmlIIed pIIIIs. I am awm \hat the buildin.
;mJ~. "> en ~ ~ L..,. "Ihaeby '-lbaIlbeg~~(Wa?QE:;;: tl'i '. tOperform"7l:l8'_ O-X
S~ Contractor', t.,....,. No. Date
I Permit Valuation
I PermitFee S l 4.
Plan Check Fee S
State Surcharp S \ .. z. 5
Penalty S
Plumbing Permit Fee S
Mechanical Permit Fee S
Sewer cl Water Permit Fee $
Gas Fireplace Permit F~ .--- >
/ 1 r))' ,- , f
-ft'1fi P"'~'] --...... "/""-
I~{\~!\~ 1/11 ,Of
. Buildinll Oftlcial '..... -----J 'Date
nus is to mtiIY that the mauest in the above, ,d':.. tion aad a...". ..,,',, ,documeal$ is in accordance with the City Zoniaa OrdiJlan<< and may proceed as reqUCSll:d. This document
wilen siJncd by die City PIann<<... ..'... "... a..,. .... Certillcate of Zonina compliance and a1Iows COIISlrIICdon to c:oIllIIIeIIC:e. Berore lX'CIIpaIlCY. a Certifraae 010. "." " ...' must be
issued,
Park Support Fee
SAC
#
#
WaterMeter SizeS/SOl; I";
Pressure Reducer
Sewer/Water Connection Pee
#
Water Tower Fee
Builder', Deposit
Other
#
TOTAL DUE
$
S
S
S
S
S
S
S
S 7rc.-
I Paid -/ (v _ - I ReceiDt No.C//7t./';;;;' /
I Date -7 - / CJ'7" -L/ Bv C:;'
'( I /7-
PIInDintI DIrector
Dare SpecYI CoDdIcIoas. if ~
24l1oar notice for an hu ! ..,-. . (952) 447.98~. fax (952) 447...245
16200 EqIe Cleek Avenue Prior Lake. MN 55372