HomeMy WebLinkAboutBuilding Permit 07-0279
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/J776
,
OWNER
SCHEDULED
DATE TIME
...Y-3--r;
~4
.
CONTR.
PERMIT NO.
7-)71
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI 0 EXIGRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
OIfECH FINAL 0
~p-- h :~Ql/I
, ,
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, EINSPECTION 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
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
'f-.3[),07
] White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 07 - 2- 71
ZONING (office use)
.~
~
12/
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER J('t 1\ 0-1t-5
(N ame)
(Address) I /70 If 0'" /5C
PID ..I'~ -() Z-D"'O
(Phone)
~$'7- {P5~' '/
~
~ '7 .
I ~ll j -.S
BUILDER
(Company Name)
(Contact Name)
(Address) f 70
/tie -{ rr> q /}.'1 X ()Clt~
~ " ^ ~e '"t ~ "'"'
/I?.' .-<)..UZ 5:7: $'. 5,4 k.Jp {(
(Phone)
(Phone)
It I ;)~
(~ft 7- 7 f J 7
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility ConnectIOn
CODE: ~R.C. DI.B.c. o Misc.
Type of onstruction: I II III IV V A B PROJECT COST IV ALUE $~ rfu C)
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
on this application which is to the best of my knowledge true and corn.'cl. I also certify that I am the owner or <lutllOrIZed agent for the
IOn will conform to all eXlstmg state and local laws and will proceed m accordance with submItted plans I am aware that the buildmg
urthermore, I hereby agre ' that the City official ~ ~SlJe/m; ~~u;n the propeny to pert(Jrm needed m:;;~ ()~ 7
Contractor's License No. Date
L( r XJ#]
Date
Paid
Date
7G,.~
-7:JtJ ~O ,
#
#
Permit Valuation
Park Support Fee
Permit Fee
SAC
Plan Check Fee
---
Water Meter Size 5/8"; I";
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
$
I $
$
Sewer/Water Connection Fee
#
#
>> 'l..o
Pressure Reducer
Water Tower Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
Gas Fireplace Permit Fee
TOTAL DUE
ecomes Your Building Permit When Approved
i R'ceiPtNO~
By l!. 'j(
TIllS 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 Tim document
when signed by the CIty Planner constItutes a temporal)' Certificate of Zonmg compliance and allows constructIOn to commence Before llccupancy, il Certificate of Occupancy must be
i.ssued
Planning Director
Special Conditions, if any
Date
24 honr notier for all inspretiolls (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372