HomeMy WebLinkAboutBldg Permit 02-0524
05/13/02 MON 12:05 ,FAX 6124474245
CITY OF PRIOR LAKE
III 001
CI1Y OF fRlOR LAKE BUILDING PERMIT,
TEMPORA!lY Cl\lllJl.CATE or ZONING COMPLIANCE
~D UTILITY CONNE",.. .ON PERMIT
Date Rec'd
5-/Lj-oZ-
~: =.' ~ PERMIT NO.O Z-o ;:::">A J.
, vdlow AppI~ ~..."
CfkaIe . or wine tad..!!p at boaDlD)
, ADDRESS
$"S O~ l~() 'rt....
ZONING (otIia till)
<: 7,
-s.~
~o'-\.C:""" ( -, "'--c::..
~&---
LEGAL DESClUr .lION (oIIicle use GIlly)
LOT
BLOCK
ALlJJl lION
PID
OWNBR \ c:::.
(Name) ~,\ +- \ c:.o.....)\ ~
ISvl-t-l-'L~
, (Phone)
f:J ~\~-^ L~ LC-
"'"L -'
(Address) ~O If
BUILDER, ". .....
(Name) ~;\-n ') fl<,C)A^~ 7- ~l ou",\}
(Contact Name) .C (,...r-l So
(Address) tit. Cf D Y- ( lI--1. (~ L r..J
(~O f\- <;; 'I ~ ~
-I-__c..., , (phone) ,(?6~)c)O ~co~l
(Phone) (Cole. \ ~b i - '1~" Y
/oJ P ('t V"'-O '- 'TL-. IV\.- ,.,j
OLower Lcvd Finish
(JDeck
O~ace
OPordl
DAddkioD.
~I
[JAbratlon OutiIity 0".. .. ..: 1m
~~30.CO
DRe-Si_
TYPE OF WORK
D New CoDStruction
DMilc.
PJlOJ!CT COST !VALUE (exc:l1Mfiat:: IaftcI) S
(hereby ~ mat 1 ~ tbmisbcd'",~.,." ation OIl this applarioft wbich is to the beltorlftJ 1lDow\edF ne ad teIftCt. I lIIJo ca1ify lbat 1 am the 0WDeI' or
IUlI10rizcd a8ftIl for tile aIJoq.lIIC1I!ioned p,. . iJ ~" I1'd lhat ID ...,..", cCion will confonn liD an uiltiJlllllee IIl4 Iocalla"" aftd wIl .". , ...1 in ~ with
IUblftitfe4 pIaDs. I am .WIIe that the buitdllll olftcial can fCYoke mis permit for j1Isr cause. FunhcnDote, I henby .p that die city oftk!ial or a lktipee may
:-/:Z"Z' ~4i1l1pec:d.cJDs. Go '( ~ ~ l? f'A-~ O~
L--' SilftllUte C... ,...1. . I LklInscNo. DalIIl
-~--;~"~~~
8vildb'I Officill Dale
Pm~PM # S
SAC # S
Water Meter Size 5/8"; I"; S
P,ess~ Reducer S
$ewer/Water Connection Pee 1# S
Wa~T~fee . S
Builder', Deposit S
Od\er S
TOTAL DUE S 2""q~
Paid ',/((1 . U V p.~.J~""'j'/ 4"UI.J~
00'" r-N-.-Z-- By t /'
. Permit Valuation
Permit Fee S
Plan Check Fee S
State Surcharge S
Penalty S
Plumbing Permit Fee S
Mechanical Permit ,~ S
Sewer & Water Pennit Fee S
a.s Fireplace PenN! Fee S
Thi, . co crdiry lIlllllle ., "." _. . In lhe above appb1i01l ancl. . .1.. '.. ~ ~ ::--=-. ~ accordance willi die CIly Zaain& ~ 11I11 may " ..... u...,.' ." . I. ThiI docUlIIIIIf
wile. lipid 1ty lilt Ciry PIa_ c:OIIItkuaa a ,.,. I ". Ca1iIIc"t of Zania& c.,u- UId &\loWs ,. '" i:Iiaa to COIII~. IeRn . ..,,,' ", , a Certilicuc or Occ9pIIICJ -".
Issued.
P1l11\1lina Director
Date Spedlll Conditions. If Ill)'
24 bolD' nodce for all illlpecUooll952) 447-9850, fa (952) 447~
.... ,-__. _6__ ...." cc.,,",,,,
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SC,liEDUL!D fidf;-~ /J . r.
t5 5" () r /[;CTi;;k- S-r-
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~-6aLf
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TION7\ P
~INAL t;::()C)
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
-
~
-
~
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
Inspector: _ ~- . Owner/Contr:
CALL 447-98~ :~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI