HomeMy WebLinkAboutBuilding Permit 04-1205
DATE TIllE
CITY .OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
$,'2.3.61
ADDRESS
25(P~ S~,uN'9 L-K- ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4-. 12,05'"
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
o GASUNE AIR TST
o <:Inr^/~
COMMENTS:
~l-OS~
DIJH If)
771'6 PI 06
j /V ,,?} eT/ V I TV
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 A.RE FOR YOUR PERSONAL HEALTH cI: SAFETYI
IJUNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/ z z. 04--
I White File
Pink City
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ^ --. !
CJstof..!: :Sp(d:cJ7nt~ ~
LEGAL DESCRIPTION (office use only)
LOT ;?-5BLOCK
ADDITION 8(/ / /a.~./t./J'" L1E7l-t:!#
OWNER
(Name)
~( \r). f\" (j 1 s.o_~
.~
)
(Phone) C;S 8 . L/ (/5- - ?iLl (oLI
(Address)
BUILDER() ,^ \ \ (\ ~, 1.
(Name) "ffi 1\ - "'\~ \...,w .1J() t
(Contact Name)
(Address) 3d CO
Date Rec' d
PERMIT NO. 04~ . /2 oS-
ZONING (office use)
!CrJD
PID~. Isl {}/&:>.O
(Phone) 1-Lo3-SL/d -~\3dCo
(Phone)
TYPE OF WORK
c_dob G,,- \.\-e_ ( \ C\ 7 tc 1 K.L
-( J
DPorch
ORe-Roofing
o New Construction
ODeck
OLower Level Finish
~Siding
o Misc.
o Fireplace OAddition OAlteration OUtility Connection
PROJECT COST/VALUE (exdudingland) $ ap ) ex, 0'63-
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 e for the above-menf ed property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted pi . I am aware that e uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~terupon propertytAer~ insp~(~ a[)J[O~s1- SlY\:J(UOL/
- Signature Contractor's License No. Date
I Permit Valuation 2, S-U{i.OO I Park Support Fee
I Permit Fee $ -- I SAC
?~ 7J
I Plan Check Fee $ --- I Water Meter Size 5/8"; I";
I State Surcharge $ I "2 "J" Pressure Reducer
I Penalty $ City SAC and WAC
I Plumbing Permit Fee $ I Water Tower Fee
I Mechanical Permit Fee $ I Builder's Deposit
I Sewer & Water Permit Fee $ I Other
I Gas Fireplace Permit Fee $ I TOTAL DUE
This Application Becomes Your Building Permit When Approved
{if.u}
/Z. Z_,~
Paid
Date
Building Official
Date
#
#
#
#
$
$
$
$
$
$
$
$
$ /& c/O
f
I ReceW'f No.
I BVa.
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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