HomeMy WebLinkAboutBUILDING 01-0640
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
5 ~ 7.0 Y
ADDRESS
!iPZOO W65/ /1V~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ /. <<1 {, +,0
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 EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o ~ -,~-cJF"
COMMENTS:
6f-OS6
Dt/ G 7?J
77-115 PI vb
IN/lCTJ VI TV
I
o WORK SATISFACTORY, PROCEED
o CORRECT 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 &: SAFETYI
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
,,, z1,CJ I
White File
Pink City
Yellow Applicant
PERMIT NO. ~/. 0 fR+f)
(Please type or print and sign at bottom)
ADDRESS
/tPZOO Wb~ I
ZONIN G (office use)
rlVb .
~/~
LEGAL DESCRIPTION (office use only)
LOT / BLOCK I ADDITION ?~.rl 0 G Gnlu/GNS
PID 2.5--2-11- ~~/-O
(Address)
5~'&ll~
...>Nn6
~995Z-9f7-:{HCJ2
OWNER
(Name)
BUILDER
(Name)
(Contact Name)
(Address)
(Phone)
(Phone)
OLower Level Finish
OAddition
/
~e-ROOfing
o Alteration
ORe-Siding
TYPE OF WORK
o New Construction
o Deck
o Porch
o Fireplace
OUtility Connection
o Misc.
PROJECT COST/VALUE (excluding land) S
I hereby certifY that I have furnished information 0 is application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
an that all construction will conform to all existing state and local laws and will proceed in accordance with
aware that the bu 0 ial c n revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
eede 'ns ecti s.
~ -;;1/-0-1
Contractor's License No. Date
I Z,5"OO. IJ 0 I Park Support Fee # $
I Permit Fee $ , 74.75' I SAC # $
I Plan Check Fee $ .-,f I Water Meter Size 5/8"; 1"; $
I State Surcharge $ I.z.-~ I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ lather $
I Gas Fireplace Permit Fee $ I TOTAL DUE $ '1t.dO
l' I
JaJ~ YOmBUililingp;~;1~;;OO Paid 7(,.fj() Recei . .31rrQ
Date {q-2'7--dl By I
Building Official Date
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, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245