HomeMy WebLinkAboutBuilding Permit 03-01245
/
\,;>........~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
If. ()fO
l3t:td. c~~i
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED
q-Je..-ClJ
CONTR.
PERMIT NO.
3 -(z..4S-
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 GASLlNE AIR TST
o
COMMENTS:
rc - /Or1r
-----
~
/ /' J
\ ( /(LSC"
~'--/ '
-----~~
Ic,:~ ')
/
------
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: M q - 2{ -OJ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
''''''''''
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
q. /7. () ..J
(Please .!VD~ or print and sign at bottom)
ADDRESS
While File I PERMIT NO I
p;" Ci<, . /1 :? -1."7-f:5'
Yellow Applicant L)...J V'
/ & 01 0
0'I6U::;
~G
#//6.
I I ZONING (offi,,",,) I
te / S-...o f
LEGAL DESCRIPTION (office use only)
LOT-5~LOCK ADDITION
t/t/C.6J1 06 ,t:l~ PID?S. tJ9c,.. (13'11. 0
OWNER
(Name) ~.-. AAL{JiI'-:'
(Phone) 1<);)' "JiT(.,'- S r 3 'I
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
DLower Level Finish
o Fireplace
DAddition
;A1Re-ROOfing
DAlteration
ORe-Siding
TYPE OF WORK
o New Construction
ODeck
OPorch
DUtility Connection
o Misc.
PROJECTCOST/VALUE (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 pr~ to perfo~m n~d inspections.
X /.. //~ /1.f....ft--!- q ~ I 7 - 03
, / -Signature Contractor's License No. Date
I Permit Valuation I Park Support Fee # $
I Permit Fee $ I SAC # $
I Plan Check Fee $ I Water Meter Size 5/8"; 1"; $
I State Surcharge $ I Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Permit Fee $ I TOTAL DUE $ 7(,p,OCJ
This Application Becomes Your Building Permit When Approved I Paid '7(n, (/V ReceivtM. ~ tl'l
I Date 4.1'7. 0 ? Bv {..
Building Official Date tJ
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 inspectious (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372