HomeMy WebLinkAboutBuilding Permit 03-0613
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3540
BASSWOOD
03-0613
Re- Roof
OWNER
PHONE 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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
CLOSE F!b.e
Mike--Pei .l:..1 ~
{jEC
'l ?rlOj
..
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
lNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
..3St:.f-o L5 /iSS/V 00 J:}
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNnK '"
(Name) ~..IC-v\. 1 ~ ~
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
~
~O~A~V"
ODeck
o Fireplace
I. White File
2. Pink City
3. Yellow Applicant
f1,11C-.
Date Rec' d
5Z7-,0$
PERMIT NO. t):f--OCRI3
ZONING (office use)
PID~- I/O -02Z-c)
(Phone) q $). - ~hb - 5~ t.f9
(Phone)
(Phone)
DPorch
~-Roofing
OAlteration
ORe-Siding
OUtility Connection
I hereby certify that I have fu ished 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- ntioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
~bm lans. I am aware th t e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ente ~to perfo eded inspections.
'i ",-- - S -).). -O'~
________ _ S~\ Contractor's License No. Date
I Permit Valuation
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 Gas Fireplace Permit Fee
o New Construction
OLower Level Finish
PROJECT COST/VALUE (excluding land) $
OAddition
'2" !)Zru.",ut
$ 7~ #7 j-
$
$ I-Z.J'"
$
$
$
$
$
Building Official
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
I Paid 'L{,. 0 0
I Date .s. z, z.. 0]
# $
# $
$
$
# $
# $
$
$
$ ?h.OCJ
Recet;iNo. H?--7T
U
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
16200 Eagle Creek Avenue Prior Lake, MN 55372