HomeMy WebLinkAboutBldg Permit 01-1152
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
s: 7. OtY'
ADDRESS
4/4-5 /;1//tVoSONGj (!/IlL
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AI5'ST
o t<'~.fIOIA/7
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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 cl SAFETYI
INSNOTl
TIME
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CITY QF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
J-/ I qz;-"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULA T~ 0 0 SEWER HOOKUP
~ .P1't,lAL 00, . 0 PLUMBING FINAL
o SITE INS CTION j; 0 M~H FINAL
COMMENTS: ~/~
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DATE
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY, PROCEED
rA CORRECT ACTION AND PROCEED
6 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~....... Owner/Contr:
CALL 447-9;-;1 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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(Please type or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
10/08/2001
I PERMIT NO. OI-/15~
4145 WINDSONG CIR NE
l;,r'.
JtONING (office use)
t'pus 0
LEGAL DESCRIPTION (office use only)
LOT tI BLOCK ~
,.
ADDITION kJ~/Y)[lli drt~ PIDCJ.5"-d3~-607-<)
f/
OWNER
(Name) Greg Sayler (Phone) 9524407261
(Address) 4145 Windsong Circle NE Prior Lake MN 55372
BUILDER
(Name) Cedar Valley Exteriors Inc (Phone) 7637552221
(Contact Name) (Phone)
(Address) 9920 Zilla Street NW Coon Rapids MN 55433
TYPE OF WORK
[] New Construction D Deck D Porch ~ Re-roofing ~ Re-Siding
[] Lower Level finish D Fireplace D Addition D Alteration D Utility Connection
. PROJECT COSTN ALUE (excluding land) $ 64129.55
DMisr
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 upon the property to perform needed inspections.
X~. BC-20177285 10/08/2001
Signature
Contractor's License No.
State Surcharge
$iLf, 7S-
$
$ I;}..~
$
$
$
$
$
SAC
#
#
Date
$
$
$
$
$
$
$
$
$ ?~ "ctJ
Receipt No.
By C-c-
0
Permit Valuation
Park Support Fee
Permit Fee
Plan Check Fee
Water Meter Size 5/8", 1";
Pressure Reducer
Penalty
Plumbing Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Mechanical Permit Fee
Builder's Deposit
Sewer & Water Permit Fee
Other
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your building Permit When Approved
Paid ?:/ .7ro 1--
Date I D - I d- -0 )
Buildinl! Official
Date
This is to certi/)' that the request in the above application and accompanying document 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.
Planninl! Director
Date Soecial Conditions. ifanv
24 hour notice for all inspection (952) 447-9850, fax (952) 447-4245
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