HomeMy WebLinkAboutBuilding Permit #02-0383
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q:-l7-0?
ADDRESS
/47 ~f..I
lI'4fIc- 1"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
')- 32]
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
#WORK SATISFACTORY, PROCEED
I~ CORRECT ACTION AND PRO ED
, CAL INSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSNOTI
C:\lY OF ~RlOR lAKE
INSPECTION NOTICE
DATE TIMe
SCHEDULED
f'!R -Of
ADDRESS
It.; 73'1 /J11/t
CONTR.
7;4/ '/
/J101:~1 Ll) ,'"IJ.
I'
PERMIT NO. () 1. - ? ~ J
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
bf'c(/tc - r9 C
rri WORK SATISFACTORY, PROCEED
11'0 'eORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSNOTl
7>
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
'1-- 4-o'z..
~. ~i~~e ~::y I PERMIT NO.02_Q\'L 11. '2
] Yellow Applicant ~ T/J
/473~ /l/9,PtG ~/& ..s:6
ZONING (office use)
,e /$-0
LEGAL DESCRIPTION (office use only)
LOT/OBLOCK I ADDITION tJ~?/1NO t>~ ~1H
OWNER
(Name) (}. ~ N~ .f 11'/ AJ"Y
~cl(e.,1IS:"'"
(Phone) ct .(..-~ - ~ ,-t- -<.03 '3 't
(Address)
<--
I
BUILDER
(N ame)
MtJi<L
J,,~
(J '" ,...p.
.s t1(.~ 4/
(Phone)
(Phone)
~ .) / - (p"> 3.'- 7 7 ~ I
(Contact Name)
(Address)
() "'1;--4 W c' &' eI
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
ORe-Siding
o New Construction
OLower Level Finish
o Fireplace
OAddition
OAlteration
Mise.
ewe,
PROJECT COST IV ALUE (excluding land) $
OUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware t the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon t e property to per~ needed nspections.
x
(
$
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Contractor's License No.
Park Support Fee
SAC
#
#
./
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTALDUE CAM.W 4---lfJ..OZ-
2.33 _ z- G::,
~/_O2--
1~~r7V1--
I Paid
Date
1- s- - CTL.
Date
y/~ /v 2-
ate
$
$
$
$
$
$
$
$
$Z33.2..0
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
"~"'q ~~ Lfht/oL G AA--~~M~
Im~ng Director ~ Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372