HomeMy WebLinkAboutBuilding Permit 07-1078 (2)
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(0 I~ ( tf1
OWNER
~5(;?o(O St:::-tIUAJC r:JVb.
I
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
7.1078
,
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
INAL
SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
/2,5. !GOOF-
(\ A
f\\ tVA,L' ~
L '07J<.,-~' VI' =- L
/" .
Nt? kS ~
~WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREr WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: \; j Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
l. White File I PERMIT NO a
2. Pink C;ty . 7- 1070
3. Yellow Applicant
(Please type or print and SilUl at bottom)
ADDRESS ZONING (office use)
\SleDG, Sk'lhn~ Ave. N,\,J.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~=R~ob~~
(Address) ) 5 ~ Oc.o
'Boe...
8kyl\nf'. A\ie..
BUILDER W \" r.
(Company Name) a. Ke..-v- ~OO~(\5
(Contact Name) M\K-e. E,.
(Address) d..J"1 L/- CaPf> ~d. 5\. \)(4<..\
(Phone) q5~-#7- 833~
N.W.
(Phone) !r,-S / -- :lS I - 09 10
(Phone) in;::; 1- ,;( S J - 09/0
MI'). 55/14-
TYPE OF WORK 0 New Construction ODeck o Porch lRIRe.Roofmg ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc:
I
E
II
F
I
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE $ (p. 201.00
(excluding land)
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 agent for the
above.mentioned 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 building
official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
'-fV1~ '~_,.f) 4,1~9
Signature
Contractor's License No.
\O-\<c-O'l
Date
x
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$
$
$
$
$ 7(0 uu
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Meter Size 5/8"; 1 ";
Pressure Reducer
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Pennit When Approved
Paid
Date
-;&.UU
//.S'..;'/
,
/
Recelpt" No. .,5..50//
By--:.... .
6
Building OtTicial
Date
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
Dale
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Special Condilions. if any