HomeMy WebLinkAboutBuilding Permit 04-1248
DATE TIllE
CITY .OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
S, 2.3, ctr
ADDRESS
/59.30 -supnSH 7/1-L
OWNER
CONTR.
PHONE NO.
PERMIT NO.
+,/z~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH R1.,
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o ~rr-,
COMMENTS:
~t-OS~
DIJH If)
7716 Pi 06
j /V /J e.4/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 ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
lN$NOn
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
i z. 2?'CJ1-
1 White
Pink
3 Yellow
File
City
Applicant
PERMIT NO'M-. /2- f i
(Please type or print and sign at bottom)
ADDRESS
15930svAJPiJtf 772 V
LEGAL DESCRIPTION (office use only)
ZONING (office use)
/2'-1 J!:J
LOT
BLOCK
ADDITION
PID &s- 0;.(3. ()Or. 0
. ,
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
kUL.Fl2.lf()b~ ~.
~_\ rr..O ~ &-S
~,- f:'rz..p.iJ eJI.L, kl
(Phone) G- ~ L., \2 - 5" <1 0- S-.t; ~
(Phone) \-\ ~,q 52.. - 4':.f7 /932
f&jQfL L~ ('11M. 553 72
I hereby certiIY that I have furmshed mformation on this applicatton which is to the best of my knowledge true and correct. I also certIfY that I am the owner or authorized agent for the
above-menuoned property and that all construction will conform to all eXisting state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
otficlal can revoke th~s fermlt for Just cause FUlt elmore, I hereby agree that the CIty offiCIal or a deslgnce may enter upon the property to perform needed mspectlons
X 1L /~ L "~ I 7. - 1. ~ - 0,--/
Stgnatu;;-? Contractor's LIcense No Date I
V
I
~d
\'..,07..1)
TYPE OF WORK 0 New Construction DDeck DPorch "'ijlRe-Roofing
DAddition o Alteration DUtility Connerfion 0 Misc.
ORe-Siding
DLower Level Finish
CODE: DI.R.C. DI.B.C.
Type of Constnlction:
Occupancy Group: A B
Division:
PROJECT COST IV ALUE $
(excluding land)
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
Permit Valuation
Park Support Fee
#
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
o Fireplace
$
$
$
$
$
$
$
$
$
/fc). clo
This Application Becomes Your Building Permit When Approved
).'"l-.- 1~ f-'iG:> _ (/d
/2. ffo-d fl--
., .I ../ ..,
ReceiP:r! ~ 19---
By ;_ ~
Paid
Date
Building Oflicial
Date
ThIS IS to certifY that the request 10 the above applicatIon and accompany 109 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
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