HomeMy WebLinkAboutBuilding 06-0526
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 5S~B
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
^I ,. 1 .
t..;.lOSP.\t..o .~. V
..
TIME
~ - 52y
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~rjRK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: I ~ Owner/Contr:
-...--
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please type or print and si~n at bottom)
ADDRESS
1 White
Pink
Yellow
File
City
Applicant
I PERMIT NO. (!)" - 0 5d{,j
SS:l <i
S ~b{l e--t-e
NE
Pr ;ue LA~-e
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~N
55),5(
Kl:\ ) ~l
sA 0 R-c 'T/(
(Phone)
qc;-,J - 4cJ fe,- tJ 7'7 ff
. .
(Address)
/Vf
BUILDER
(Company Name)
(Contact Name)
~64,(~ )A.'VJ
..., \ v\'" 4"" v c;. -t!' tv
, .....
5544 SAOR-c",;e t
-+J Ow\ <
cz..xl
(Phone)
(Phone)
q~-~'lL/-'834-9
~/4 no, -t'
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ~e-Siding OLower Level Finish 0 Fireplace
OAdditlOn OAlteration OUtility ConnectIOn
CODE: ~LR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST /V ALUE
(excluding land)
$
1'5.DOD-
x
I hereby certify that I hav' Ir hed lI1formation on this applicatIOn which is to the best of my knowledge true and COITect. I also certify that I am the owner Of authoflzed agent for the
, that ,Ill constl'y'ctlOn WIll conform to all eXlstmg state and local laws and WIll plOceed tn accllldance wIth submItted plans I am awale that the bUlldtng
I tor lust cau IUlthc~ I helcby agree that the CIty offiCial O~d~g;c~;;.~ter'.F; plOpe11y 10 pcIform necdc~n7;C;)k ~
/ Slgnh Contractor's License No Date
Permit Valuation d 5tJt!J. 00 I Park Support Fee # $
Permit Fee $ 9~ 7S" I SAC # $
Plan Check Fee $ I Water Meter Size 5/8"; 1"; $
State Surcharge $ /,2~ I Pressure Reducer $
Penalty $ I Sewer/Water Connection Fee # $
Plumbing Permit Fee $ I Water Tower Fee # $
Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ I Other $
Gas Fireplace Permit Fee $ I TOTAL DUE $ 7b. (J 0
This Application Becomes Your Building Permit When Approved I Paid ~,,,. ~l1 Receipt No. ~(S. / 7
... I Date ' ,,(,q (~II Byr~
~ ~~ (P/1I!~ ~
..... ,
l311ildlllg un!cial
ThiS IS to certify that the request 1I1 the above applicatIOn and accompanY1l1g documents is in accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner CllnsUlltes a tempuralY Ccrtlticate uf Zoning cumpl1ance and allows cunstructiun to commence. Befme uccupancy, a Cerl1tieate uf Occupancy must be
tSSlll'd
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any