HomeMy WebLinkAboutBuilding Permit 03-1429
DATE TIME
CITY OF PRIOR LAKE 1/-2l:Lz
INSPECTION NonCE SCHEDULED
ADDRESS :?57J ~J
OWNER CONTR.
PHONE NO. PERMIT NO. S-Ic.t29
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL ~~~!y':T
o SITE INSPECTION o MECH FINAL
COMMENTS:
No ~
:ft~
,/'
~RK SATISFACTORY, PROCEED
o CORRECT CTION AND PROCEED
RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: . Owner/Contr:
~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
10:22
CITY OF PRIOR LAKE 9524474245
\.;11 i OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONlNG COMPLIANCE
AND UTILITY CONNECTION PERMIT
P.01/01
Date Rec'd
//).22>.03
Q'lwe typ OJ'prim md _ arbollom) __
ADDRESS
3s1~ i 5/d-^JVJ~~ C;rc-1~
i~ ~~ I PERMIT NO.03_/4-.7CA I
3. v...... .....,11.... ~/
I
ZONING (oftict1llC)
LOT BLOCK
LEGAL DESCRlt liON (oftiee UK only)
ADDITION
~=R I;>~ 4- .locL~ ?~J~r
_ (Addres5) ~
BUILDER
eN arne)
(Contact Name)
(Addless)
TYPE OF WORK
OMm,
Midwest Reefing & Siding
~ 1 ~ Jpffersnn Hwv.
Champlin, MN 55316
o New ConstrUCcion
DLower Level Finbh
PID2.S./eCJ. O~+..O
(phone) 95.;;<. '/47 14 Sd.
(Phone) 7& 3 <./.J- 7 9& 9(.0
(phone)
DDed:
OPorc:h
~RDofillg
~.Sidin&
o Fireplace DAddilion [JAltetarion OUtiliry Conueetiou
PROJECfCOSTIVALUE (excludinglllld.) $ 13.000.-
I heRby certifY that I bave rumbbe4 iDlbrmaliOft. on ebb 'fIilicarion wbich is to the be$l of my lalow1edae he uuI .., . r.. I also eertify cbac r am lIIc owner 01
illlthorized qenl lbr the abo~.mentioned pnlperty ;and that aU constmaion 1JiIl cOdfonn to .u existing ."le and loca1Sawe and 1riI1 pro<<ed in KQ)tdmc:e wilb
IIIbmiUled pW1s. I am aWaft that the buildinJ ollicia1 can n:volrf dli. permit for just eau.se. Funbcm10l'tl, 1 haby awee that the city ofticial or a desipce may
;~7fD~~7ftJ.
~ - s~J
Permit Valuation
Permit Fee
Plan Check Fee
Stace Sun:hargc
Penalty
Plumbing Permit Fee
Medwtica1 Permit Fee
Sewer A Water Permit fee
Gas Fireplace Permit Fee
2,500. DO
s 74-. '75
IS
s /.2..5
s
S"
s
1$
IS
'llIis AppliQtioD a; ,o.,eiYOw BwtdiQI Permit wtleD Au. .1
Buildiag Ofticial
Dare
S
$
S
S
S
S
S
S
$ 7LtJ.oO
I Receipt,.~, +SCf /.5 .-
Bv~
I
~oCI b(;)-77
Ccmlrac:tDr's Lktnse No.
I Park SUpport Fee
SAC
1#
#
/0 ~ ~::l-q,:L
Date
ThII is to ta1iIy dial du: reqlJ"~ ift lht alKMl ~licatioU- aIId ,ccoJlllllliiIllc documtlllS-iI ift ICCVIllIlK:Ie lrith lilt C!ly ZolIia& OtdiDantc -iUid ml1 proa:ed as req\lCSlCIL This documcllf
wbra sipeeS by die City Pb1lllerclJDlilituleS a 1[,,, ".", OInlllcalr DfZoail\l C~iIIC<J apcl a1Iowli .',J' JCIiIm to COlftIIII!~_ BeJbte '0.' ""'-1:7. a CmiJiolft: ufOccupUlC)' _ be
isaued.
Planning DirllClDr
WaterMeter SizeS/B"; 1";
Pressure Reducer
CllY SAC lInd WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUB
1#
1#
Dtre Spccilll Condlt.ions. if My
"" ........ ..^"- f". .11. - '. , linn. (9S1\ 447-t850. Ill. (;51) 447-4245
p~. cK.*l73Di
"7&.-
Paid ,/{g.OO
. Date /0."23. Q3
TOTAL P. 81