HomeMy WebLinkAboutBuilding Permit #01-0187
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
4.2.3.0/
/oJ, r,
ADDRESS
/4-279 ~Gt6,e.s
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING t]
o INSULATION
. FINAL;e67>
~ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER H
o SEWER
o PLUM
o ME
COMMENTS:
f
O(~ 0/87
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~LL 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 & SAFETY!
-----1'".---'"'---------..--'..-...-.--
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please npe or print and sign at bottom)
ADDRESS
1'-/{}..71 R....t~~
Sf
J./E
LEGAL DESCRIPTION (office use only)
; 'ir;i:' ~:~, I PERMIT NO."", I _ "rob'"
}. Yellow Applicant f..,...J' '-'" D J
ZONING (office use)
~I~D
LOT BLOCK ADDITION p/~ Lor 43 PID tlt5' ~ 11'\ -0/2. -2-- ,
OWNER L.A ~"\.~dv,;r- 9S;l- 'II./S, SVIf fa
(Name) (Phone)
(Address) }'i:L7 '1 R..;h ~ J1 AJc.
BUILDER
(Name)
E/:v--I
J'1J..79
b'y I ~t.
R.J-.qt""~ J T .AlE-
(Address)
v
ODeck
TYPE OF WORK
o New Construction
o Fireplace
OLower Level Finish
DMisc.
(Phone)
OPorch
~e-Roofing
ORe-Siding
DAddition DAlteration OUtility Connection
PROJECT COST/VALUE (excluding land) $ '2.5CJO. ~
.;J. c> I ;Lei? J...
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
\ Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid lID. - .
I Date ~ ('L-\ { 0\
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 fo the e-me 'oned property and that all construction will conform to aU existing state and local laws and will proceed in accordance with
submitted plans. e th 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 perfo needed inspections.
$
$
$
$
$
$
$
$
\4-. .., ~
1
1
1
I
I
I
1
Gas Fireplace Permit Fee
_ilJ]z,.;:""~g~~/;\
BuiIdirl'gOffici~ I Date!
x
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I
I . 1-t::;
-3- 6l1- 0/
Date
# $
# $
$
$
# $
# $
$
$
$ ,ro.-
Receipt N o. ~ "t 0"[ "
By (2.h t\-
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
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~.~.".