HomeMy WebLinkAboutBldg Permit 04-0850
AUG-17-2004 10:27
(..... ~ or mat...... at bottom)
ADDRESS
/(,2,75
CITY OF PR I OR LAKE
\...11 i OF PRIOR LAKE BUILDING PERMIT,
I ~MPORARY CERTIFICATE OF ZONING COMPLIANCE
AND tJ IILITY CONNE\..IION PERMIT
1171.s~
LEGAL DESClUPTION (ofTJU llse only)
I. _e File
I. I'ioII r;.,
) YoIIow ~
9524474245
P.01/01
Date Ree'd
e. / P;. 01-
PERMIT NO. O~. oe;5D {
/fVeNc/e;, 5f!,
LOT .,.. BLOCK '2. ADDITION 81l4'8Jr:Jv'IU~ " 1'k
OWNEIl
(Name)
(Address)
~Bt1n.DER
(Company Name)
Contact Name)
(Address)
ZONING (aIIicc lilt)
/e,
PID 25: IBJ. Of PJ. 0
, (Phone)
Beissel Window and Siding
Jon Stenson-salesman
1635 Oakda1e Ave West
~h~) 651-451-6835
(Phone)
St. Paul, MN 55118
TYPE OF WORK CJ New Construction OOcck OPorch DRe.Roor"" ~e-SidinJ DLowu yve' Finish CJ FlreplaC'e
OAddition DAiwraticm ClUtilityC.,., ,.,: ." 0 Misc.
CODE: DI.R.c. Dr.J.c. PI.OJECT COST IV A1.tJE S
Typc of COIl"" "..,'08: 1 n m IV V A B (ncluclUtc 1_)
Occupancy (j, ,. "J' ^ B E f H I M Il S U
Di. :''''OJ,: I Z 3 .. 5
IIlctdIr ""'fr lbIllllavt l\uftisll<<l tnfonuUOll 01\ _ IPPli(MiOII which i$ 10 lIlf tlnf of lilY kaowlcdlf Ullt and '.... .... 1 alto ~ lilac I Utlllt' <lWlIC:I' ... lIt'l~ IJCIIt Cor die
mbuvr.r'lcllll(>nCd pi . .. " W Illatotll CVII" , ,:,,, wid ., .\. 1\1 III tllininl mrc 81Ml1oc11 ~ws aacI will ., ." .1 in Imlfdan<< wid"lltlmimd pIaJtJ. I alii awaR that lilt' INiIlIillI
ulIirill till fC'IQJlf 1M pmuit for jus. eallW rid..,.... ..IIlct'Cb) ~ rh~ tile eil)' ofIlcW \If a ~ ma,. em.r llf01ll11t' .'. '. '''. fa ". \'''' fImIcd "", .. 1I1lIlI.
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~
Permit Valuation
Permit Fee
PlanCfteck Fee
Slate Surcharge
Penalty
Plumbina Permit Fee
Ml!chani(a1 Permit Fu
ScWtT& Water Permit fee
Cas FitqJJace Permit Fee
z.~ 5(')(J.O 0
s r 1+. 'IS-
s
s
s
s
S
$
S
I. 2.5
1lIls At,lkllioD B ., 0 ,J v.." hiIdiac hmtit W1Iea A", I'" ed
Buildinll om~illl
Date
/~
S
S.
S
S
S
S
S
S
s 7(,. {)()
~.
Contr.ctor'S L',. ."", .. No.
I Parle Suppon Fee
SAC
"
N
..
TIId Q to anity rlW II1C lCQUttt in die IblM lJIPIic':lIICIII ,n(! a . , ". I,'''', .. J dOaa"",* II ill ~ with IIot Ciry Zooie. Ordinucc and mlY pnlCI.U All "','" ...lCd, ThIS daI(llI\'lCOt"
..hen ~ II)' tile CoIY PIAnnrr tIlNbC1Ill:S a 1mlpOI'J/Y Ctltifiatt of ZorIillC MftlP~ llIld 11_. .. ' , , Iftion to .,. " "" " Bd'rll'f , ..,,,. ~tY. a CeniOc_ ." e " ,., " tY lllUR be
itsuc4
PlanNIlI DiIeC:UW
Ww;
ffU4ht.')
Water Meter Si~ 5/8"; I";
PInSUn: Rcclucer
SewerlWater Co"ncction F~
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
"
"
Paid ?(P, (/0
Date JJj e_p~
0aCe
Z4 "our 40Iift (or.U ;.._....... IOKn U'f _ ..._........ .... ....
O'L
~
&La
SI*iIl CGnditiollS, if Ill1
TOTAL P.01
Ju..t... L~meVftr
&, j/ ~ L/.J)~ tot! 3r
CITY OF PRIOR LAKE
INSPECnON NOTICE
SCHEDULED
ADDRESS
/6;275- $hsc~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...fI"'fINAL
o SITE INSPECTION
COMMENTS:
/J ~ I
/C-e s-, de
~
(' .-,/
"---C~/o,; e
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
IJ PLUMBING FINAL
o MECH FINAL
",/J~TE
{Lfk~
TIME
c:x/- j.s-u
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ //
Co~~ /e /e..-
/
INSIVOn
, \)
/' ./
r~
AWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~,;~YOR REINSPECTION BEFORE COVERING
Inspector: /yt;7 - Owner/Cootr:
v
--
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI