HomeMy WebLinkAboutBuilding Permit 03-1278
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/7030 5" v#'t ~ /-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~
/
\ /
"'-
"--.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
"rtr) r
.....
DATE TIME
-!/J-2./-P.:)
'1,,- I
--3-/~ 7<6
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-~
J'-- "" "\
-f-/ lC )
/
~
,
I ..c__
t~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~OJ':. C~R REINSPECTION BEFORE COVERING
Inspector: JI V r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INmOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
!7()JO ~lf1r~~ 7r4-,' I
OWNER
CONTR.
PHONE NO.
PERMIT 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
11:a/--aff
COMMENTS:
DATE TIME
C/-2J-~
~
,~# /),7'8'
o EXIGRAD!FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Ji'wORK SATISFACTORY, PROCEED
If CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: M q r tJ 6 Owner/Contr:
,
CALL 447-9850 FOR THE: NEXT IN~PECTlON 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
q.~z.()3
I. White File
2. Pink City
J. Yellow Applicant
(Please type or print and si~ at bVL<vm)
ADDRESS
t7b'~D ~I.4IJS~-r
~rL4f I
LEGAL DESCRIPTION (office use only)
LOT YLOCK \ ADDITION
CI4IL ( ~, L t!Es I y:
Ao/J
OWNER
(Name)~ 0 aU r ,F,--r~
(Address) , ,O?O L~vfAl<;:-j -rr2.A-JL
.
Date Rec' d
PERMIT NO'g -/1.. 76
ZONING (offi~e use)
PID L-) -(~.-D:J7--o
(Phone) ~ '-1'17 i:, I f) A
BUILDER .) ~ /"
(Name) I'~ iLLf...r'b1Zc:... I _OAfS' I
(Contact Name) ~1r;.Dbf:-C)
(Address) 100ZO s--r Ffl-AJJCdS k
(Phone)!1.{;2 ..... L./.!:/7 -- -,932-
(Phone).kJ2. - 5qo ... 5~S-8
TYPE OF WORK
~Re-ROOfing
OAlteration
o New Construction
DDeck
o Porch
OLower Level Finish
o Fireplace
OAddition
o Misc.
PROJECT COST IV ALUE (excluding land) $
ORe-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 up~~ the p~oferty to perform needed inspections.
X ~ ~F--J.1-, q-2-z..-03
- Signature (/ Contractor's License No. Date
v
$
$
$
$
$
$
$
$
"2... S"O"O_-
( 4 . ;-r
Park Support Fee
SAC
I ~ -Z")
I WaterMeter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
7lf~ ~I 7-
7f - /~
# $
# $
$
$
# $
# $
$
$
$ 7(d.-
Receipt No. 4)",'2-'Z...
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