HomeMy WebLinkAboutPlumbing 03-0534
DA. TE TIME
qd>l~
RJea} ;U4-Y
CONTR. U
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~~ f5R
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
dtUUJ?
COMMENTS:
S&.<J7~~
U
If r
Of - _t?,
/11^')-
I I~
. /
-..../
~- 5 ::;1
-?-c::2,t.j
.,::.... -.;
3 -S3~
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~~.
,
0'\.1'/
\/: -
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: c::P A
I '--
CALL 447,9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
----.-.-----.--.-----....--.-----.--- .
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
~~J-O 3
(Please type or Qrint and sign at bottom)
ADDRESS
3B t;=)n Q~(d'tv TAss
;
LEGAL DESCRIPTION (office use only)
LOT ~~BLOCK:"~ ADDITION
\
OWNER
(Name)
I. White
2 Pink
3 Yellow
File
City
Applicant
I PERMIT NO. OJ-V::-;14;:"
.,,-- .
IS?:> 14J.-::i75f~ ~
~NING (oftle,use)
Ks b'tr.--
!" z:YYl6S
uJE:-t0S MA-NN
(Address)
L)2&-S'l
PID
(Phone)
L,A-i(,s.c., (("'6
CAl2--L
~4 ~q 2(N f2AIJ
-------
V<--' VV\ <3 ! N <.Q hb1\.PhOne)
/' . (Phone)
lid:- ~fr~ $v
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
~iSC ,:J-
DLower Level Finish
iY/~5
PROJECT COST IV ALUE (excluding land) S
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 Of
authorized agent fOf 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.
/--i.
\ Recefp(No. qq-?.>7/
BVl .
()
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.
x
Signature
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
l Gas Fireplace Permit Fee $
~~~-7ti^;"'
. Buil&ng Offici~ -.J. /~ate
q')2- -8ff -7GCb
.
5Ts 7CJ>
DRe.Siding
oDeck
DPorch
ORe-Roofing
DAlteration
DUtility Connection
o Fireplace
oAddition
Date
Contractor's License No.
#
#
OJ. ./
,..(:'t:'-qO
It
#
$
$
$
$
$
$
$
$
$
q-10 /L)
I Park Support Fee
I SAC
c2l,..water Meter Size 5/8"; 1";
\ Pressure Reducer ~,
I City SAC and WAC
\ Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
ql'J(}, vJ
I Paid
I Date
'170, uiJ
\. r .1
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372