HomeMy WebLinkAboutBldg Permit 04-1020
Date Ree'd
/0,7,04-
~ tue....mr............... 1i
ADDRESS ':
17 J1. Be; SU.fW1 II fA' rl' if'"
LEGAL DESC1UPTION (oIicIe use +y)
,.1, I' ST
LOT fr; BLOCK I ADorn,;" WOOO VIE:JN
OWNEll !!
(Name) Hllfll f &>r/r ~J/I'/l.~
(Address) J 7 r2 80 ( <V /nrLl LI.I'I ;- L/t1 "
f
ZONING (oftIce_>
~/.s.o
PID2-5". /86. OOfG, 0
(Phone) q!5;?"/L.J7' 575Z2.
BOILDEll '.
1C.,..<"DYN....~~ J. i. f/:(:/:eYj n,-5 (Phone)C{S;JB87/ &1 ~
(Contact Name) --'- _ _LMty-r yo (phone)
lAddm4lPi'J17 /l"i'N~. :P./iX:>[)1lrgkJ/J 1/1111I S")~
TYPE OF WOK 0 New O. ",". .. :)11 ODeclt Dpordl DRe-Rooftq AIlbsidiDa DLower Level FiniIh 0 Fireplace
OAdIdiaon ~on OUdIity C ,.,," ..: ..,J 0 M~. ~
: COPE: DLll.C. []I...C. nomcrcoST/VALUE S 3, D/j---
'ffi'c ofC~ '. '.' I .. ID IV V A B '(~i..1ud)
Oc:capaa..1 Group: A. .. Ii: . '11 1MB. S U
DiYiIUJa: . Z 3 4 5
I
IlIcrebycatilY tbIIllIne I, ,.,:,... ..liI.i, . this iW" lloa wIIIdI illO lbc batollllJ ,., ,.. .._IIId..." ..., I aIIo ca.tilY IIIat I am lhc owner<<..,,,.. ,....,11fCM for lhc
"... .", lid., .,. '. IIId dIIUD .. ".., ICtiaa . mlllbmllO aD eIlIIiaIlIIIe IIIllJoellllws aDd will.," ...J ill, ..,.".. .. wilb I8bmilted plans. I am aware that IbeINilllinl
~ ~_. ,I bmbJ Ipfttbatlhecity olIkiaIor a . "l;"ZZ';i Ibe,., . '.' topedorm-W7?Jo 4
Comraclar'i't.icease No. 0.. '
Permit Valuation
Permit Pee $
Plan Chedc Pee S
StateSurcharge S
Penalty S
PIumbina Permit Pee S
Mec:banical Permit Pee S
Sewer ~ Water Permit Pee S
:==y-"'::+,,--
Part Support Pee
SAC
" S
" S
S
S
" S
" S
S
S
S 710.00
Water Meter Size 5/8"; I";
Pmsure Reducer
Sewer/WaterC.,..,,~:.on Pee
Water Tower Pee
Builder's D... .",'~
Other
TOTAL DUB
Paid '7&.00
Date /0. 7. ~4-
!.l~-~:7. ..1!2t; . (Jf'~7 fJ(p 7
Bv F'
BuildinaOflk:ial
Derc
..... ='
. .1'I!D...... ,.... to~.tbat~ .!.'.... ill lbclllcwe .. aad.... ."".,.,. ~ docu~ it in ,..." .. widI ~~ ZoniaaO :,', , ..1IId may d' .... ~ "'.".'" J. TbiI .".. .. '" t
i wIIm lilnedby lhe Cny ~ .. ",,,,,.,..,. Catilkale ofZoaiq .H. I. ~ IIId allows .. '''''' '.. , , to.. ..,.... IIefi:lft , . "10"".". C. ,., . ... oIOa:upIney IlIDtbe
:1Iiued:
I'IIaaia& V' . .. ,
DMe Spec:laI {,~.lf'.,
:u IIolIr II8Cke for a. iaspectlou (952) 447..... fa. (952) 447-G45
16200 Basle Cleek Avenue Prior Lake. MN 55372
CITY OF PRIOR LAKE
INSPECnON NOTICE
SCHEDULED
ADORESS ~ Su--'''lf Ck-
OWNER I CONTR.
PHONE NO.
PERMIT NO.
o FOOTING '
o FOUNDATIONI:
o FRAMING '
o IN,.,SU~TIO.!:! I
~FINAL~'tj
o SITE INSPEC ,ION
COMMENTSI~
~
i
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~c:r-~
~---
DATE nilE
\ t lb,of-
q -.l1i2/J
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~K SATI$FACTORY, PROCEED
II
o CaRR TION AND PROCEED
o COR. CT RK. CALL FOR REINSPECTION BEFORE COVERING
Inspect1r: ~ ~I Owner/Contr:
CAV ~-9850 F~ THE NEXT INSPEcnON 24 HOURS IN ADVANCE.
~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
I1f$NOTI