HomeMy WebLinkAboutBuilding Permit 00-1002
DATE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
4717
PLEASANT
00-1002
Re-Roof
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
u t'LUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
COMMENTS:
rl-'~')5~ FI~!:
!t\ik~ Petel1son, Building InsjJc.\..1 UfO
DEe ~ Zull3
o 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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White File
Pink City
Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
tit'JI'7
p~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ZS-Q02.- Oz..3-D
OWNEF~ t \ r,' n"\" ()
(Name) yr~'\ uu.c...t. ~ ~~
(Phone)
(Address)
BUILD~ VI D. (. \ L'_ _ - (f\" \
(Name);) ~L1 ,. ~Itq m'41flA[W{\ \ 1\6.{. (phone) -\'OU-"lq -fI1ll
(Address) .1 \1 f,. ~it)~. 11f1.s. I AMi, 'n~____
TYPE OF WORK 0 New Construction ODeck OPorch ~Roofing ORe-Siding
DLower Level Finish
o Fireplace
DAddition
DAlteration
DUtility Connection
o Misc.
PROJECT COST /V 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
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 pe f\i needed inspections. I
X ~rv{ \V~\Ni.~.X LeU 1)0
~ Signature Contractor's License No. Da.e
Permit Fee $ AA. ?.. S- Park Support Fee # $
Plan Check Fee $ 5(~ . II SAC # $
State Surcharge $ 2-,00 Water Meter Size 5/8"; I'" $
,
I Penalty $ Pressure Reducer $
I Plumbing Permit Fee $ Sewer/Water Connection Fee # $
I Mechanical Permit Fee $ Water Tower Fee # $
I Sewer & Water Permit Fee $ Builder's Deposit $
I Gas Fireplace Permit Fee $ Other $
I I tl5. C, (,
Your Building Permit When Approved TOTAL DUE $
11 .. 'L '1- 2J--v Paid Receipt N~ J
Date Date fl. 2-7-2.0 By ;;
"<
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