HomeMy WebLinkAboutBuilding 02-1098
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
4o~ w..r!! ALr- fA ~ d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULA TIONy) _ I. 0 SEWER HOOKUP
J2"FINAL l~ 0 PLUMBING FINAL
o SITE INSPECTION ~O MECH FINAL
COMMENTS:
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f
100
o.
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L-!. v"'-
DATE TIME
"],..L,
;)-IOCfr
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
r'j", I
t/~
(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: YW]- J-~ -0) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
tj 0 8-9
I. White File
2 Pink City
3, Yellow Applicant
Ii )///0 /u /J.}(rd
5+
LEGAL DESCRIPTION (office use only)
LOT7 B~OCK ~ ADDITION/(/-f/l+iNL~J /fy.llck
f~~e~R i )~-.Lri J LJ,;r-h",w,
(~s) L-( u ~)1
. . 1/'.... '
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BUILDER
(Name)
(Contact Name)
(Address)
9.. 1'/- oz--
PERMIT NO. OZ -/010
ZOF?:t (office use)
-:;~PInJS- g(J-h- OIS-(p
\T
!)r,;
(I8ne) q .,-)- L/4 (.'- 5 <-t';...,
I "vl,\'
L.;,)z
~'L; '} 7 1
(Phone)
(Phone)
~eck
o Fireplace
OPorch
ORe-Roofing
TYPE OF WORK
o New Construction
DAddition
o Alteration
o Misc.
DLower Level Finish
PROJECT COST IV ALUE (excluding land) $
ORe-Siding
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 that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter ur~e prop?{Y to ~.erform needed inspections. I' .
X .lv, I lh,J.. 1/.., It L
iliil\~re Contractor's License No. ~,
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee I $
This#t- j
:d)~ ' m Y~mB~p::'r~":;d
Building Official ~ 0
/CfaJ. .-
"
b~Zo
43-03
, qt;;
Park Support Fee
SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
IPaid'lO/8
I Date 1- ~ -07_
# $
# $
$
$
# $
# $
$
~ZO,(IO/ 1
$ ,,~ /8 /1
Receip~ 47/79? I
By .(/J{/C/ I
/
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
issued.
Planning Director
Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS L/() ~q, / j b.J2JjJ}71/(/f)1~o:i
TYPE OF WORK L)cLIC
USE OF BUILDING &F
PERMIT NO. ()J-- !oiS-- DATEISSUED cf'-q-~
BUILDER Dtvr--LLO_Ll~ PHONE # Lfl-{O- S-L/5"tJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING t)~l~ to.'\.. F\.;\u~ r..:.r.;.qf- I VW/ I C\ - J,..1- O}--
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ I I
J FINAL
...,
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850