HomeMy WebLinkAboutBuilding Permit 01-0424
MAY-OB-Ol TUE 11:39 AM UNITED EDUCATORS CU
FAX NO. 651B320031
P.02/05
Oatc.Rcc'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF Z....\&4.\G COMPLIANCE
AND UTILITY CONNECTION PERMIT
l!'Ia!! lUJO or miIIllIId _ at baaDml
\ ADDRESS fl{~'fr;, ~ I "J i I'd
Tro.; ( .
S-??-Ol
~ E.. =- I PERMIT NO. 0 1= 04zA-- I
. ZO~(i'--) 1
,.{) b, }rto/' tt!<{., I"tll ,SS.J7~ I
PIDd5- ~~- o/ll-d
LEGAL DESClUP'l10N (oIIico .... 0DIy)
LOTI L\ BLOCK I ADDmON ~1I In h
~~R -rtud ~ /Vl.~'cJt.cI(t St'\l\.vt1\q (Phone)
(Address) tL/2..fCn E>/ut.bir~ Tt.;/ Ale 'r-~.r Lq,/<L
BUILDER bV.I ---,.......t
(Name) .... , '-",
(Contact Name) , \
(Address) 11{;"9' 1,( I.d i /'r)
TYPE OF WORK
fj / II .qtA
:5'",\ u t-k if
If .
rho; I AJ8. Ir.'or ~k
o New CODIlnICIion
OMI",.
r henby certifY Ihat r have _ .
a.thorized ...... lbr the ." .. .
submitted plam. J am I
enter upon the tol .,'~j ,
I
I
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I Pennit Valualion
I Permit Pee
Plan Check I'ee
Stale SUR:hugc
Penally
I Plumbing Permit Pee
I Mechanical Pennill'ee
I Sewer'" Water Pennil Fee
I Gas Fireplace Pennit Pee
$
$
$
$
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M 11 S-~ 37,.2.
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1# '$
1# $
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Thil js'to ccnifJ dW Ihc n:qucst.ia the &bow &ppIkadon &ad . ... ,", I' ". ." J ' . .,. .,. iI in ICCGI'dInce wicb the Chr Zanint 0rdinuIce and mi.' prOCHd U I'flqUIICc4. ThU docu-:'
when.ipcdbydlcCky_~linllal._ .... .,Ces1ific:aa:a1_COlIlpIIaoa:llldaUows_clionlO....... ..... _ocal_.aCes1ific:aa:oI~-
ilaued.
Ou.-r Level FiDish 0 PinpIIce (JAddj1ioa OAhoralioa OUtiIity ~..
b ~ ^"". e_.
PROJBClCOSTIVALUI! (udlldinllwl) S II,;" ';.-"J
OIl thll applic:alioa _ i& III die bOlt of my .... ... ~ Ir1Ie IIId amoct. I aIIo cortIlY thac 10m IIIe owner or
aad tbat aD t'lIII ... . ...... wiD __ III all uistiaa Ita.. IIId Iocallawollld wiD proc:ncI in __ willi
oIIIciaJ can .... lhi& penIIit lbr ju&t cawe. F1 .... _....... .. I hereby ..... dIallbe city oftidal or a deIipft may
fir" I
(".ontroaDr'1 Laue No. DIIe
Pl....in& Director
. l'arkSupportF..
SAC
WaterMetcr Size S/8"; 1";
Pralure Red......
Sewer/Water COIIIICI:lion Fl!C
I WaterTowerl'ee
I Builder'. Depooit
I Other
I TOfALDUE.
I Paid {.fr.l[(.,
Date. ~~ If. 0,
DaIo spcoial Cond_.lf any
14 bour DDtI.. fDr III i . . ...-. .. (9Si) 447--' fa. (!I5Z) 447-4145
<(
,::-'
PR10R~ LAKE
.INSPECTION
RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
.
SITE ADDRESS J.21:ZcrC, 131w:)1n ~ t& 11-
TYPE OF WORK ~k:-
USE OF BUILDING SFD
PERMIT NO. 01- 04- Zk' DATE ISSUED 5"- ,. 2c;o I
BUILDER ~VV\\,\-ko.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW,
TIiE PERMIT IS BY SEPARATE D(CUMENT
I FOOTING I ~ ~ INSPECTOR I JU)' ;E
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN'SIGNED
I~, I I
I FINAL
I r~-11 I&/~/;'J
I ' '
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS 447-9850
,
'\.
ADDRESS
/tf;)-q 6
DATE TIMe
IlCHEDtlLED b~/3:.3c>
~~d..~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
., ,- -3- 'l,r; 6{ ~<t,
[J EXIGRAD/FILLlNG Z<t
[J COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
o GASLINE AIR TST
o
0~
o FOOTING 0 PLUMBING RI
D FOUNDATION 0 MECH RI
o FRAMING D WATER HOOKUP
o INSULATIOIt'I/->~ / --" 0 SEWER HOOKUP
.a-1'1RAL ~ c..--- 0 PLUMBING FINAL
o SITE INSPECTION D MECH FINAL
COMMENTS: P ~+- IL
n rldAk t
( (lh
--- -
~-."
<
-
~
.."..,.....,
~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK; ~L FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Conlr.
CALL ..7-98&0 FOR THE NEXT INSPECTION:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALm & SAFETY/
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