HomeMy WebLinkAboutBldg Permit 04-1031
\.;.& , OF PRIOR LAKE B1JILDIN9 PERMIT,
TEMPORARY ~c,ArmcATI OtrfA}!l.,U'_b COMPLIANCE. .
AND UTILITY CONNL., .:iON PERMIT
I. WIllIe ..
2..... ae,
1 V" I" .
Date R.ec'd
10. II. 04--
I PERMIT NO. OL/ - /~3 II
f!'Ie!Ie!!P! or.......... ~
ADDUSS J
l5/))j5 ~~ C~lJe SE.
LBGAL DI8CJlIPTION (oIIcI_ only)
LOT 1 BLOCK 3, ADu'jjlON J ~nSOnlS AD.:D~
&= r -r.ko /). Wn~5ir'l~
,(AddIaI) 15:'45 LaKe.. V,'E:J!J L,.d~ Sf.
~N""')~d..aJ .Jj,e. rarni{JC.
(Contact Name) ~I
(Addn8) lia.9J IOo-H. A'lf.flV E. N. tiapJe
ZONING (olIklIt_)
PlD25-J52'OO/- ()
_ (Phone) -' &/2, 5'10, ~?tXJ
ffo'OR L.aJ<~ 1'11-1 55372-jfJ.2/
(Phone) pJ2. .1.J.o . Iq) 10
(Phone) 7{.Q~ ' '19 S . 3'2,.21./
broJe. M~ S 5'3 (0 ~
lL JPB OF WOK C New CoaItructioD CDedt CPordI CRe-~ .,~ OLowlr 1.ewI PiIIiIb 0 .....,....
CAdditicm CAItIeratioa CUtiIity CoaDlCdoa 0 Mile::
. CODB: oa.c. ol.B.C. PI.OJECTCOST/VALUB S~ -, ~<)(J
1'JfeofC~ I D m IV v A B (."eWiDllaaII)
0caapacJ0Iwp:' A 8 B , B 1M.. S U
DimIaa: 1 Z 3 4 J
IIIInbr ~ dial 1 baw I'InItIIId iIIftInlladoD OD dlII appIIcalicIll wbIcIllt Illlbr belt '" IllJ Ia\owIlldIIlnIe Illd CllIIICt. I aIIo ~ .1_ .. _Ill' ...............
1bon_1llIOIIId JIftlII"IY IlId dlIC III CGIIIlrUClillI will 0IIIItbnn Illllllllillllll_ ...1DcII....1Ild will" ". ,.11D oA-Jl_ wilIl............. 1_ IWlIIt tIIIt lilt lIIi1l11D1
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~ __ CaaIncIIar'.~No. DIll
Permit Valuation
Permit Pee
Plan Check Pee
State SurdIIJJe
Penalty
PIurnbin8 Permit Pee
Mechanical Permit Pee
Sewer.lt Water Permit Pee
au Pilepllce Permit Pee
~ 5-CXJ ~
s 7L{7!J
S J,,??
S
S
S
S
S
S
". ~....... YOIIl'........... WIlla AnrcMtI
a"II"n... '''''''1.1
rw-
Park Support Pee ..
SAC ..
WI. MeIer Size 5/1"; l"j
Pmlure Reducer
Sewer/Water Connec:tion Pee ..
WI. Tower Pee ..
Bui1der'. Depotit
Other
TOTAL DUB
s
s
s
S
s
s
s
s
s 75.-
Paid
Date
/f/\' I--No. l-I'')4'1U
/6 -- 11-11 LI Iv r:.
, f/
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/.s~~s- ~~v"~c-./
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
[] FOOTING
[] FOUNDATION
o FRAMING
o INSULATION
..li!!f1IINAL
o SITE INSPECTION
COMMENTS:
4 r/
~lde
TIME
SCHEDULED
CONTR.
PERMIT NO.
to/ - rCJ3/
[] PLUMBING RI
[] MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRADIFILLlNG
[] COMPLAINT
[] FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR 1ST
[]
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&~4 /e-Te
/
--~_. ,.~
~ ~/~
/C/t:J$ -e- ~ ~ _/
~ - ~
~.. 'uu^K I&FACTORY. PReece"
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO REINSPECTION BEFORE COVERING
Inspector:
Owner/Cootr:
CALL 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl