HomeMy WebLinkAboutBuilding Permit 07-1070
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
5330
SHolG6
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
1"1 · III
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...........,
,
DATE TIME
(OltOq
77M~ 0
7. 1070
t
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
P
1
;5 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 1airAALL FOR REINSPECTION BEFORE COVERING
Inspector: )f \ Owner/Contr:
\,J,
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERll'lCA TE OF ZONING COMPLIANCE
AND lJ IILITY CONNECTION PERMIT
~f6
Date Rec' d
I. White Fite I PERMIT 0 7
2 Plok City N . 07. /0 0
l YoIlow Applicanl
(Please type or print andsign ate . "..,.)
ADDRESS5-;30 ~~t0(, -l'~ \
JJE-
LEGAL DESCRIPTION (offICe use only)
LOT
BLOCK
ADDITION
~=~e~~\tei ~ t~J.~ 1-) ~ e So
(Address) S II ""e A-s S~, k AJJ\.(..~ ~
, (Phone)
SunDER
(Company Name)
(Contact Name)
(Address) fLU, <.,--0
~fr+ L4l~" lJ'.vdOeJ.- ~~J;) (Phone)
1~17~ D~ 1(;;pEl--f'/- (Phone)
b l w J A- [[ (L ~ k fP pIe U,~ [\e VI MN ~ I '1 c(
ZONING (ollice IISC)
PID
q~-i{y~ -I.Dgb
tf52- &9(- 5YOU
TYPE OF WORK 0 New Construction DDecIc o Porch ORe.Roolin& )(L.Sidina DLower Level FiOlsh 0 Fireplace
OAddition OAlteration DUtility Connection 0 Mise,
CODE: OJ.R.C. OI.B.C. PROJECTCOST/VALUE S~ lO~6.o,)
Type of ConstIUction: I IT ill IV V A B (excluding land) ,
Occupancy Group: A B E F H J M R S U
Db'isioa: 1 :z J 4 5
I hadly ceni Ihal I Ita"" furnished mformation on this application which is to lhe best of my Icnowledae true and correct, I also certify lhall am Ihe owner ur authonzcd agent for the
above-menu ,.. __'1 &'''' lOa construction will conform 10 aU exisblll Slale and local laws and will proceed in accordance with submllled plans, lam aware thallhe building
l.lfflCial can 0 permit for j t cause. Furth____..... I hereby qrcc thatthe city official or a dnianee may enter upon Ihe ,-.,...) 10 perform needed 1n.,...nn...
"- .. ?L;tfo42? I () J '&;10 q
~ . ~/ Signature eonttactor's L~se No, (D.~ '
x
\ I
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
s
s
s
s
s
s
s
s
I Park Support Fee
I SAC
I Water Meter Size 5/8"; )";
Pressure Reducer
Sewer/Water Connection Fee
I WaterTowerFee
I Builder's Deposit
I Other
I TOTAL DUE
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
This Application Becomes Your Buildlna Permit When Appron'
I Paid
I Date
Iv
1(. y.() I
Buildin\!. Ollicinl
Date
I#-
#
s
S
$
S
S
S
S
s
S
1/
ReceitSt No.
By(r .
o
5":i"O / 0
#
#
l(y -
Tills IS to certify Ihat the request in the above applicalion and accompanying documents is in accordlllCC with the City Zoning Ordinance and may proceed as requt'Stcd, This document
when signed by Ihe City Planner constilutes a temporary Ccrtilicale of Zoninl compliance and aUows construction to commence, Before llCCUpancy. a Ccnirlcalc of Occupancy musl be
issued
PlanDing C:'. ....
Dale Special ConditlOlll. if my
24 hour notice for .n ins~ctlons (~2) 447.98~. fax (~2) 447-424~
16200 Ba&le Creek Avenue Prior Lake. MN 55372