HomeMy WebLinkAboutBuilding 02-0471
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /5')51
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
/"\ I /I
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DATE
SCHEDULED 3Ms
II~J /k) l
V
TIME
CONTR.
PERMIT NO.
2 -if7/
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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fVl.t ~j, ~
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o WORK SATISFACTORY, PROCEED
o CORRECT79CT NO PROCEED
o CORRECT W R'YffLL FOR REINSPECTlON BEFORE COVERING
Inspector: 1M Owner/Contr:
,CALL ~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5-2-02-
(Please type or print and sign at bottom)
ADDRESS
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/
LEGAL DESCRIPTION (office use only)
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++ujhlund
J
LOT
BLOCK
ADDITION
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OWNER
(Name)
Gec'('1 e
i S-15-/
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(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
I. White File I PERMIT NO 1
2 Pink City . O? - 0 ~ I
3 Yellow Applicant ~ '7
Av.
NJ
ZONING (office use)
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(Phone) (1 S). - t.f if 7- '-Ie 5- /
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ty('c( LtL MN S:S.~ 72-
Park Support Fee
SAC
#
#
Vie\J
PID
ORe-Siding
OLower Level Finish
o Fireplace o Addition o Alteration OUtility Connection
PROJECTCOST/VALUE (excluding land) $ .J"OOO. (, .)
o Misc.
(Phone)
(Phone)
ODeck
o Porch
~
I
[iRe-Roofing
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 UP~We.tlfOperty to perfO~ne7ded7{'ns tions
J' \.J)... f ,c:- 2
X // .u...(~ J ~ ,'--- l1~ ,) - -C2...---'
./ Signature Contractor's License No. Date
,--..-
Permit Valuation ,;2.,500.00
Permit Fee $ 7~7r
Plan Check Fee $ ---
State Surcharge $ ;. Z-J
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Tfu'APPM~ YOWBOO_P'~~;A;-:
Building Official
Date
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
$
$
$
$
$
$
$
$
$ '7foooO
~4-/?'3
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 10 commence. Before occupancy, a Certificate of Occupancy must be
issued.
Water Tower Fee
Builder's Deposit
Other
I TOTAL DUE
//~ .00
5- ~-O,--
Paid
Date
Planning 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