HomeMy WebLinkAboutBuilding Permit 04-1245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TillE
.s. 2..3, OJ(
ADDRESS
/4-55D W/~OJ {P..c;WL/
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
IJ FOOTING
IJ FOUNDATION
IJ FRAMING
IJ INSULATION
IJ FINAL
IJ SITE INSPECTION
IJ PLUMBING RI
IJ MECH RI,
IJ WATER HOOKUP
IJ SEWER HOOKUP
IJ PLUMBING FINAL
IJ MECH FINAL
COMMENTS:
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DIJ e- I ()
4 . I Z4-..~
o EXIGRADIfILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o S(OtN-<:,
771'6 PI 06"
j /V A e..4/ V I TV
I
IJ WORK SATISFACTORY, PROCEED
IJ CORRECT ACTION AND PROCEED
IJ 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
_TI
(Please type or print and siWl at bottom)
ADDRESS
/'15'~O
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
PERMIT NO. Oq--. rZ4-S-
W;/~
PK WV
/
LEGAL DESCRIPTION (office use only)
Date Rec' d
/2.. 27 d4-
ZONING (office use)
Pt).Jj)
'7}IC: Wlc...-OJ
PID Z5~ ;)tfi. Ole. 0
LOT / 0 BLOCK 3 ADDITION
OWNEw? I .
(Name) L" fll'/ $
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
.
P/tJr/rk
(Phone)QIl, ;l.3,;J.. gg~:3
(Phone)
(Phone) _
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing MRe-Siding ~; ower Level Finish 0 Fireplace
OAddition OAlteration OUtility ConnectIon 0 Mise. r ,....
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
III IV V A
HIM R
2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
1 hereby certify that I ha e furnished mf, ' IOn on this application which is to the best of my knowledge true and correct I also certify that I am the owner or authonzed agent for the
Proll ty and that al onst Iction will conform to all existIng state and local laws and will proceed in accordance with submittcd plans. I am aware that the buildmg
e'W;t::;;(JJu ~ agre~thal the City offiCIal or a deSIgnee may enter upon the plOpelty 10 pel;#:"J3__ CJ y
. Signature Contractor's License No Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
II
F
1
B
S U
2i500.00
$ 7'-/ 7 S""
$
$ /-ZJ.-
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
'7&.c/V
J.).;p1d ~
Rec~t No.
W'I-:
cJ
Buildll1g Otlicial
Date
$
$
$
$
$
$
$
$
$ '/&'.IJO
,
1r1& / J
ThIS IS to certify that the request In the above applicallon and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence, Before occupancy, a Cerllficate 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