HomeMy WebLinkAboutBuilding Permit #03-0636
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
:<2-07
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~/-~-t1l
. ,
.s:P/Vt' ~ ~ I
CONTR,
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINA7
>/d.l~
./
-
~
I' / / ".
" {/! !l'>L
"'---
-:? -c rs. c
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
--
"
r .} \
rlu )
/'
---------
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~OA~ FOR REINSPECTION BEFORE COVERING
Inspector: ----f.-.fJ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
(Please type or print and si~ at bottom)
ADDRESS
320/
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2, Pink City
3. Yellow Applicant
s~/U/~ -//dA/L--
LEGAL DESCRIPTION (office use only)
LOTS BLOCK 0 ADDITION JV4-:.J~J
OWNER
(Name)
(Address)
BUILDER
(Name) CA~ Fr~~ E,Je-ler:.r ;e..e.~{;"""
(Contact Name) Crct.; c:; ~ C.:>'"'ls..c./ /
I
(Address)
/IO(j"L.
TYPE OF WORK
o Misc.
If r"- 5",.
A.J. F.
11tU:1
(Phone)
(Phone)
(Phone)
~/4.~~ M,c./ .sf y~ ~
,
ODeck
o Porch
ORe-Roofing
Date Rec' d
-:;: 2.f3. 05
PERMIT NOt>J-O (PJty
ZONING (office use)
K:-IJD
PID ZS - 172- #0;-7- CI
6,? -qfjo ' S'" '2.>ci
,
~e-Siding
OUtility Connection
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~operty to perform needed inspections,
X ~ &..5> _ s- 2~~D;:J
/ Signature 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
o Fireplace
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $
? ~._(./U_ I
$ 7L/ 7 (' I
$ .---- I
$ Lr
l _
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Park Support Fee
I SAC
I WaterMeter Size 5/8"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid ?&. 0 U
I Date' r vI"/. c)?
# $
# $
$
$
# $
# $
$
$
$ 7~.C/U
tl
Receipt ~2.~O
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
16200 Eagle Creek Avenue Prior Lake, MN 55372