HomeMy WebLinkAboutBuilding 02-0466
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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OWNER
DATE TIME
SCHEDULED _ ~~~
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CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..,a...pmAL
o 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 GASLlNE AIR TST
o
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COMMENTS:
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WORK S RY PROCEED
CORRECT ACTION AND PROCEED
D CORRECT WO~K. CAL F REINSPECTION BEFORE COVERING
Inspector: Lft. _ ..,-. Owner/Contr:
-
CALL 447.9850 FOR 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-l-0Z-
1 White File
2. Pink City
3 . Yellow Applicant
PERMIT NO. 02- 04/~f.I;
-5 ~d-:
LEGAL DESCRIPTION (office use only)
LOT ?BLOCK '3 ADDITION
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OWNER~
(Name) mW~
(Address) S~ U7.
ZONING (office use)
/51)
PIp
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(Phone) 95d-Lj47-4S~
5: 7.;L-
BUILDER
(N ame)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction
OPorch
ORe-Siding
OLower Level Finish
o Misc.
ORe-Roofing
OAddition
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $
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 n the pro 0 perform needed inspections.
X
Permit Valuation :s
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
comes Your Building Permit When Approved
g: 2,-CI?
Date
Contractor's License No.
IJ1a:fD~ /)~
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /3!J. 8ft:?
~
Date
LJv./b
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I~;P;
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his 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
hen 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
;ued.
Planning Director
Date Special Conditions, ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
..-
PRIOR LAKE
INSPECTION
RECORD
5223 t6X/NrqTVN r:!.-oUfC/S6
P8e?-
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.
PERMIT NO. () 2- -()4-? " DATE ISSUED 5 - 2 - 0 2-
BUILDER /11UR..e4V AMV PHONE# -f~7- 4523
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
TYPE OF WORK
USE OF BUILDING
INSPECTOR DATE
I FOOTING I"~. I S!f9!-bV
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
J FRAMING I b,. 15/{ 0/ ()"l-
I FINAL I ~ I-sAk.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850