HomeMy WebLinkAboutBldg Permit 04-1053
1t...J.J. i 01' PRIOR LAKE BUILDING PERMIT,
.J!.,ldPORARY"-a!.ftTWI,,,ATE OF ZONING COMPLIANCE..
AND L..uJTY CONNL... .ON PERMIT
Date be'd
/O.IJ..O?-
(f'!!I!!e. _1IIial... ...........
ADDRESS
tc-'.;).,-\ 4.-\~ Tr. St::
!:!.;. I PERMIT NO. 04-. /053
. ZONING (o/IIlle_)
It! I
LEGAL DESCIlIP110N (o8ic:e 1IIe oaIy)
LOT BLOCK
AoomON
OWNEll
(Name)
:::r ok.....
No,. di""
(Phone) {PS"'-4~S: -'("81
(Adcms)
, (,., ~ I..t 14,;\"'tl T 1'. S C
"""N
'i> t'.... ~w.. '-
BtJJLDER
(Company Namel
(Contact Name)
(Address)
(Phone)
(Phone)
PID z".s. 6/2.... () OJ. J
S""S- 1 .., ~
- TYPE OF won (J New CoaItrI .: " (JDeck (JPo.C::~Rootiq OReSidilll OLower Level FiIIillb 0 Fireplace
OAddicioa 0Abera1i0n Ot11llity , 0 Nile.
. CODE; OLll.C. [JLB.C. nOJECTCOST/VALUE S Z,OOC
Tne ofCGaItIadioa: I n m IV v A B (~.......~ IaDII)
0c:aIpgq Gtvap: A B E F RIM B. S U
DinIioa: I % 3 .. 5
I badly oenify lbatl haw IIInIiIbeIl ill 't . ., .! . . 011 tIIiI ~ wIlicb illII IIIc ... "''' I.., ", IIW IIIlI .. " .... I aIIo mtiry tbat I ... thr uw.r.wllltllorizN ....far thr
iIINJte.. ..., .1,......J UId dill. .. . .... .:. will ClDIdbna to" _. .:.., ....11III IaQlIaws 11III wi!" .. .... ill. ... ." .. " willi".. .... . .1 pIIu. 1_ _lhar IIIr lNIIllIIII
~can:::i77' r......,. ...lbeldIJ~tllatlllrcllyolllcialan. ..j 1..may_lI(IClIIlIIr, ...,,10,. .. ~~'i"I'~ 'J'~~
f ./ SiIDMure ec.IncIDr's L' . ... . No. DIle
Permit Valuation
Permit Pee
Plan Cbeck Pee
State SUJdw&e
Pena1ty
Plumbing Permit Pee
MechaDical Permit Fee
Sewer A Waterr'..".:J Pee
au r r. . " / Ice PemUr Pee
Park Support Pee
SAC
Water Meter Size 5/8"; I";
rre.ureR.;" h,
(J, . I .lWafI/I Connection Pee
Water Tower Pee
Builder'. DepoIit
0Cber
TOTAL DUE
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s
s
s
s
s
s
s
'IWI ~..... V.......I'Imit....AfIn'M
Paid ?~ . 0 0
Date /0. 12~ t1 ~
..ldilla OfIicial
DIfe
# S
" S
S
S
" S
" S
S
S
s 7t,.d4
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". ilsoClerlifytllat die ." _" ill die IIboft ",.:. ,:. . .... ... .., ...." Jl' , .... .." 15 ill , '"'' ... willi die CIty ZaaIDc C... I' ., ... ..11III !MY". .. . J..... . .' .1. 11IiI dcxa_ I
whm1iplcd1ly* City....... ... ,:."..~,. .... ,.., '.1 CertiIII:aIIafZaaiaa~lIIId""".. ""..\, so .. ."., .. ... I1em . '".,''' :y,. CeniIkIte 010 ..,., .._be
iIIucd.
........ DiNctar
.. SpeciaI~.If..,
24 ...... IIIIIIcI for III.., l l...... (952) 44'7..... fa (9!12) 44'7-t245
16200 Balle Cleek AWIIII1e Prior I..aIr.e. MN 55372
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~/~-
ADDRESS
/h ZZ~
AH4-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1J9- /CJS-..1
o FOOTING
[J FOUNDATION
o FRAMING
[J INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
[J MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
[J PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
[J COMPLAINT
o FIREPLACE RI
[] FIREPLACE FINAL
o GASLINE AIR TST
[]
COMMENTS:
~ /}/? ~/
~re;C)f- ~~/~&...~
/'
..----
/ _A
( /~S"-e-
'---
.~ ,
~WORK SATISFACTORY, PROCEED
[J CORRECT ACTION AND PROCEED
[] CORRECT ~~;~F~R REINSPECTION BEFORE COVERING
Inspector: /' r;:r Owner/Contr:
CALL ....7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl