HomeMy WebLinkAboutBuilding 02-1579
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
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SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
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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 GAS LINE AIR TST
o
COMMENTS:
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kORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL OOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
5/3f;
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LEGAL DESCRIPTION (office use only)
LOT.3 BLOCK I ADDITION
OWNER
(N ame)
(Address)
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W.lIlffflldll sf 1141) ~ --r J0 L
~~Name) ~O~i-J ~Io ,,,vS. c.. L J,o...; I
, A..tA'~'
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:_~fjVORK
o New Construction
White File
Pink City
Yellow Applicant
Date Rec' d
/l,- 9. oz..-
PERMIT NO'[);2-/S~?
/2.L) .
ZONING (office use)
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PID~"'OI3- 003-0
(Phone)
'''(Phone) ;
(Phone)
tj)2-Y7(l.- :)()O I
t. I Z- V"'~>-9 ~O~
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish 0 Fireplace OAddition DAlteration OUtility Connection
. ~iSC. ,Ill Ji~{:/tl..rU''';.6fI! W~ ~ I1fttL PROJECTCOST/VALUE (exc1udingland) $ -71'~o~ ~1<l
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
1 'Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
ed ro erty and that all construction will conform to all existing state and local laws and will proceed in accordance with
. g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
spections.
$
$
$
$
$
$
$
$
4, () 00.00
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2.00
This Application Becomes Your Building Permit When Approved
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Building Official
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Date
$
$
$
$
$
$
$
$
(jP \ \e,~ \ \ $ /(PZ, +~
I Paid t76/ /,y,,;), ~?tL:, \, Receipt No.f:ld--'-1il?
I Date . I,) -/.} -(') ~r- By f .,( /
U
3 7/2-
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
#
#
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This 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
when 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
~~
Planning Director
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Special Conditions, if any
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
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ...5/..36 NaOIT IZ11/6R:: /C/.;J.
TYPE OF WORK r?/1/M615 ,I?JP/JIK-,
USE OF BUILDING 1&I5.J /-V~
PERMIT NO. 0'( ...- 157 q DATE ISSUED /2; / /. o?
BUILDER 1!/-/7c;<IJ 77/1 N~- PHONE # 952,470' 200 I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~ I I
~E NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FRAMING I V1/yJ' I IL- ,~-G;.-
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Call between 8:00 and 9:00 A.M. for an inspections
FOR ALL INSPECTIONS (952) 447-9850