HomeMy WebLinkAboutBuilding Permit 08-0747
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 1. 1 () ~()
f;(,,^.oA ])
OWNER
PHONE NO.
CONTR.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
g.INSULATION 0 SEWER HOOKUP
p FINAL 0 PLUMBING FINAL
o SITE INSPECTION () 0 MECH FINAL
COMMENTS: v<..eroo~
I V \ ~ I
(l ~~O t.l-F
No loo~ ~(~
DATE TIME
-1~/)f
8 - 7<.f7
I
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRrT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector{;1 'J Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4c SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERuacJ.CATE OF ZONING COMPLIANCE. .
AND UTILITY CONNECTION PERMIT
Date Rec'd
I WIrilo Pill
2.... C;,y
) ytllow Ajoplicoll
I PERMITNO.o~_14:11
I
CPIcuc tY1IC onrillulIlI s1CllIt, , ", ,,)
ADDRESS
\lC)XO ~ JIlS{+
ZONING (D~lIR)
J ((AI /
~
LEGAL DESCllu ... .loON (office use only)
LOT
BLOCK
ADDITION
PID
O~ 'rL..:' /
(Name) ~V'mI"'S ~ ',ULI ~:.-t, /'Iii, O-Ls.-b
(Address) \/DX'D ~11~-.\- "v/.\.I ~I_~ }
BUILDER. ~ II
(Company Name)r.aJ.ur ~ llr>\11,y'c. -t-,-,.,-.. '}Yyi
(Contact Name) )(-r::.l \ ~
(Addressfl J;} LI 011\ ~ l'.\ (; CD\un V; ~ l-kA (. n tS
v
(PhoDe)~I;;)--:C:;I7.Lj - '19 )L/
(Phone)? 03 --7 &- C, - ttp 1r:'.5
(Phonefl~~--76ej- 7 (,.,to?;
).A.A.J SSiJ2 \
TYPE OF won 0 New ConstnlClioll Dneck OPordl rke-Rooftng ORe-Sldlng OLower Level Finish 0 PireplKe
OAddilion OAltention OUtility ConDeC.1rOll 0 Mi5c.
. CODE: 'ii1.R.C., []I.B.C. PROJECTCOST/VALUE s~f') .Ct..:::.;
Typeof~.,.."DR: I n m IV v A B (euludiD.lud)
OcxupallcyG..", A B E F HIM I. 5 U
Dmsioa: 1 2 3 4 5
1 bcrdry cmilY dW 1 hftc furnished iIIfomv.liDn OIl Ibis appk&lloa wllkh is 10 lhc best 01 rrry IaIDW~ lnIt IIllI eorrect. I also certify that I am thr owner ,.. &IImarurd qenl far lhc
.\. ..,..,..... "". '. aDd tbat all cOllllnlClioa will ~ 10 all cxisIina SlIIe and Ioc&llaws and will, o,..J in ~ wich IUbmillCd pw... 11m awm lIlat !be: buUdinl
olli . J can revoke this pemlit jUlt CllIUC. Fw:tI..,.. ,,1 hCfCby aptttllatllleclly ofticialot I dniJlnce may cnlerll\lOll7 .., .. '.. to perform nceded ,... ..; .; o.
X . i c;2f)~&774 ii:; ~/rffl
SIJllU'Nn:' COIIIRCIOr'$1.ic:et'Ise No. Dale
, Permit Valuation ~-c:;;-c::v.. - Park Suppon Fee # S
Permit Fee S -"141 '5 SAC # S
Plan Check. Fee S Water Meter Size 5/8"; I"; S
State Surcharge S \, ?- '" Prasure Reclucer S
Penalty S I Sewer/Water Connection Fee # $
Plumbing Permit Fee S Water Tower Fee 1# S
Mechanical Permit Fee S Builder's Deposit S
Sewer &. Water Permit Fee S Other S
Gu Fireplace r _....:~ Fee S I TOTAL DUE S , b. --
I J.- · ~I I Receipt No. :::,~i> g 1-
::m:-Y-'-1.1<o^T:e I Paid (w- I
I Date ~.,'~.~ Bv .~
Buildinl!~ ~ . Dlle
TIus IS to mtify lIIot tbc RqUCSf in thr 1b<M: oppbcatlOn and .... ..,.. '".lIocumcnlS is in ucorcWlcc wilb tilt Cily Zooinl Ordillllla an4 may .. .'0 ". .! .. rcqurstcd. This dllc\lmcnl
wIIrn siped by tbe Cky Planner constit\Ites 0 .. .... .JI)" CcrtiIlatt of ZonUla compliance and 01lDws constrlICtiOn to .' Before <l<<\IplIlCY, 0 CcrtJliaIr of Ocr\Ipancy must be
issued
I'IIuIIIina Dim:!<<
Dale S/ICCial C.. ,,-;: .., , IhllY
2A Ilour nllliee ror.n tllSpectiolll (9!1%) 447-9ISI. ru (9!ll) 447-4145
16200 Eagle CreeIt Avenue Price Lake. MN 55372