HomeMy WebLinkAboutBuilding Permit 00-0982
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
-,
DATE TIME
;(3~1 14.'"1,
ADDRESS
'10/;>' ~~ ~ Td-.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBI INAL
o MECH L
o FOOTING
o FOUNDATION @
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
COMMENTS: ~
Co' e1~ra.Li~'
,
I'
4fC
. .,i'~-.
":~:f
~()-9J"G
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
"'
:I
)/ 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..
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"_.,____ ,."'<._....._._~_.____._..__""'__.__.._._______"___""_ ~ . 'M__ ,.~.____
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY {:ERTIFICATE OF ZONING COMPLIANCE
. AND UTILITY CONNECTION PERMIT
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS /101 f'"
7' 0 Eau
While File
Pink City
Yellow Applicant
(]/a/rc
IR
LEGAL DESCRIPTION (office use only)
LOT / BLOCK ( ADDITION
~ I'CU';U tvad
I/e/~hfs
! I
1
;2.5-ogcj- oo/-~
PID
OWNER
(Name)
(Phone)
(Address)
(Address)
7(,?Q-
(t J' fl/ 7) f)"rJ'; ~X--- (phone)
QI'/e_ S-r C :5f.PtuL/
'en' - it')?-1 fJ -q(c4()
_~5J / 'i
BUILDER .
(Name)1f/;/ /U
TYPE OF WORK
o New Construction
ODeck
OPorch
~Re-Roofing
DAlteration
ORe-Siding
DLower Level Finish
D Fireplace
DAddition
DUtility Connection
o Misc.
PROJECT COST IV ALUE (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
SUbm~.tte a s. I am aware that the building official can revoke this permit for just cause. FUrth.eemore, I hereby agree that the city official or a designee may
:nter onth~ormJ1inspe~ons __ /),[f);)()qU6 /I J1 {() 0
Signature Contractor's License No. f Dat~
I Permit Fee I $7L/-7S- Y OL Park Support Fee # $ J
, Plan Check Fee 1$ SAC # $ I
I State Surcharge $ /,,:{!;)- Water Meter Size 5/8"; 1"; $ I
I Penalty $ I Pressure Reducer $ I
1 Plumbing Permit Fee $ I Sewer/Water Connection Fee # $ I
I Mechanical Permit Fee $ I Water Tower Fee # $ I
I Sewer & Water Permit Fee $ I Builder's Deposit $ 1
I Gas Fireplace Permit Fee $ , Other 1 $ I
This Application Becomes Your Building Permit When Approved I TOTAL DUE I $ I~l). 751
Building Official
Date
I Paid I J- J ~-a)
I Date i5D,15
I Receipt No.<38'b&3
By pf/
.I
This is co 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
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245