HomeMy WebLinkAboutBuilding Permit 04-0809
DATE TIME
CITY .OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
5.2.3.0%
ADDRESS
435'% i/c.Er:lS/ltJT
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4--. go9
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FIWNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AltlTST
Iz( 1Mb P/
(C' I Sfo6
COMMENTS:
~'-os~
DIJH . Ie)
7716 PI u6
/ /V ~ (!A/Vi TV
/.
.0 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
.CALL447.S850 FOR THE NEXT INSPECTION 24 HOURS IN ADV""'J~r=
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSiton
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
3 Yellow
File
City
Applicant
lse type or print and sign at bottom)
_ ~JDRESS
l.\ 358 ?leusClY\t S+.
S.t.
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
8,2,04-
I PERMIT NO. Otf. 0809
,
ZONING (office use)
PIDz6": 005". OD(,.O
OWNER
(Name)
. ~~(')(\
3I\J\it~\
PJfasa r1 f
~ MeJlssc~
Sf. S.C.
Z~hourek (Phone) (ClSZ. ') 4%-~7q8
PrIDY'" LCA kp lV\V\ S-)"37L
(Address)
4'3'58
BUILDER
(Company Name)
(Contact Name)
(Address)
SlA \"V\ e..
(Phone)
(Phone)
~ ~
TYPE OF WORK D New Construction DDeck DPorch ~Re-Roofing ~Re-Siding DLower Level Finish D Fireplace
DAddltion DAlteration DUtility Conne~ D Misc./ ...
CODE: OLR.C. OLB.C.
Type of Construction:
:upancy Group: A B
iision:
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST /V ALUE $
(excluding land)
I
E
II
F
I
I hereby certify that I have fiIrnished mti)rmation on this application which is to the best of my knowledge true and correct. I also cemty that I am the owner or authOrIzed agent for the
above-mentIOned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildrng
I otflclal can revoke this pelmIt for Just cause FmthermOle, I hereby agree that the CIty official or a deSignee may enter upon the plOperty to perform needed mspectlllns
'I X ---\~~ ~ ,r:( a~~\.'-"\c.-
StgnMre Contractor's Ltcense No Date
Permit Valuation
Park Support Fee
SAC
2,500.0()
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit 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(,.0 0
~. Z. 04--
Paid
Date
BlItldlllg Onlcial
Date
# $
# $
$
$
# $
# $
$
$
$ '7f(J. 0 (J
/J I
~7fO h,fi'91
IS to certity that the request in the above applicallon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
.1 signed by the City Planner comtItutes a temporary Certificate of Zonmg compliance and allows construcllon to commence. Before occupancy. a Cerll!icate of Occupancy must be
,Jlled
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