HomeMy WebLinkAboutBuilding Permit 06-1028
DATE TIME
CITY OF PRIOR LAKE J
INSPECTION NOTICE SCHEDULED (~1'I1
ADDRESS I Y'i \ lo \.;. Jr;6-a"\'~ ~
'-J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(~ - I02?:>
o FOOTING
o FOUNDATION
o FRAMING
o ~SULA TION
~INAL
;f:] SITE INSPECTION
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
COMMENTS:
\ \ () I
{ _\~~\to
- .
~WORK SATISFACTORY, PROCEED
o CORRECT Y~ND PROCEED
o CORREC!WORl,cltLL FOR REINSPECTION BEFORE COVERING
Inspector: /-, J-7 Owner/Contr:
CALL~~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
_____ V
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
1f.11,Ob
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0 ~ . I (j Z,e;
(Please type or print and si~n at bottom)
~SS
/1fL//b U.J~T~ ~~.
ZONING (officc usc)
llrA-1L
--------.,.----
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
f<.~
ILfLl/&
~ -Iv YUJt
(N~iCcl~
(Phone)
I (Address)
f-t"A-I (
; BUILDER ---P -,-p
f,~any Name)--f Lul"",,-~ _ I (,~.D~l/'::1"",-, Lol't~}
~l{JontactName) ~~~ ~~ff~
(Address) '5797 L-vt'lloWfA:JckJ r/ ~J- P-'..... 1VtV\.J
(Phone) ~/b 8fo 7.. ~7q 7
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility ConnectIon
CODE: OI.R.C. OI.B.C. P(MiSC. (2) W/NDtJWS
~
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $ -
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I have turmshed mformation on this application which is to the best of my knowledge trut.' and correct. I also certify that I am the owner O}" Juthonzcd agent for the
abllvc-mentlllned property and that all Clmsrructllln Will conf()rm to allexlStmg state and local laws and will procced in accordance with submitted plans I am aware that thc blllldmg
llffil'lal can rcvoke tlus permit for Just causc Furthcrmorc, 1 hercby agrec that thc l'lty nfftcial or a deSIgnee may enter upon thc property to perform nccdcd mspcctlons
X ~ '/.)-- ~ ~ro 0 1 /~ -/J-o'
/;.h Signature Contractor's License No_ Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
This Application Becomes Your Building Permit When Approved
Paid
Date
. ~
If. I~ QtJ
1~
# $
# $
$
$
# $
# $
$
$
$ 7~. ~()
/}
Rec~t No. S t.- (,.r /
B~
J
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
BurJdlllg Utlicial
Date
Tim IS to certify that the request m the above applicatllln and accompanymg documents is m accordance WIth the City loning Ordinance and may proceed as requcsted TillS document
when signed by tile City Planner constItutes a temporary Certificate uf Zonmg compliance and allows constructIOn to commence Befure OCCUpcll1cy, a Certlticate ()f Occupancy must be
isslled
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any