HomeMy WebLinkAboutBLDG 08-0333
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS , 5'1'50
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
..-n SITE INSPECTION
COMMENTS:
OA TE TIME
SCHEDULED ~~
F(Ht{lJ.tA~ ~~S \)
CONTR.
PERMIT NO.
08 - or??
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
(\ 0 MECH FINAL
I\-< 0 _JNI~
~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
,/'"'\. ,II "
( 'l . ~ UJ ,," \ "
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Jl WORK S. ",TIS FACTORY . PROCEED
o CORREC~AC ION AND PROCEED
o CORRECT , CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr: .
" ./
~ALL 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
~ 4-, 0 P
1 White
Pink
Yellow
File
City
Applicant
(Please type or print and sie:n at bottom)
ADDRESS
IS/So {iJ[l,JAftJN, ~~) ~ ,),F
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
1J.B~ f MIfI) n (:<ft
V IJ-V)~
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
PERMIT NO.
0803-33
ZONING (office use)
PID
9~~-11 J./f) --II Jl
\ #
TYPE OF WORK 0 New Construction ODeck OPorch ~Re-Roofing ORe-Siding OLower Level Fimsh 0 Fireplace
OAdditlOn OAlteration o Utility Conn~n
CODE: DI.R.C. DI.B.c. o Misc.
Type of Constnlction: 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: I 2 3 4 5
I hereby certily that I have furnished mformatlOn on this applicatIOn which IS to the best of my knowledge true and CO!Tect I also certIfy that I am the owner III authOrIzed agent tor the
.1blwC-mcntlOl1cct property an that all construction will conform to allexlstmg state and lucallaws and will proceed m accordance with submitted plans_ I am aware that the buildmg
';flcial can' 111: rOIl for ,'[all. thermore.; here: agree that the CIty official ur a deSIgnee may enter upon the propelty to pertllrm need6':ct:; __ d &
Signature
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
r-7/
/l9 J
G. 4-- oK
Water Meter Size 5/8"; I";
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
Sewer/Water ConnectlOn Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Paid
Date
HlIrldlll~ Ull"leial
Dale
Date
# $
# $
$
$
# $
# $
$
$
$ 70,00
r )
Ret>r5't No. ~ ~6 eJl.> .s-
By . .
!
ThiS lS to certify that the request Ul the above applicatlOl1 and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested TillS document
when signed by the City Pl,111ner constItutes a temporary Certificate of Z011lng compliance and allows constructlOn to commence. BctiJre occupancy, a Certlficate "I Occupancy must be
issllcd
Planning Director
Date
24 hour notice for all inspections (952) ~47-9!l5(1, fax (952) ~~7-~245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any