HomeMy WebLinkAboutLawn Irrigation Meter (1-1/2") 04-0572
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS . J 41 ~_q
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
0... TE TIME
SCHEDULED (n-~"I
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V
CONTR.
PERMIT NO.
4 - tJ7'7/
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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COMMENTS: /
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o WORK SATISFACTORY, PROCEED
o CORRE~TION AND PROCEED
~ CORRIZCT W<I>>RK, CALL FOR REINSPECTION BEFORE COVERING
Inspect~r: I I h Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
0... TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED s: JO -() l(
ADDRESS I 'i' '2.4
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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COMMENTS:
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECmK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ia;:; Owner/Contr:
VE i flt;I1!r
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
" .
/ ~ - '300. .. INSNOTl
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
(Please type or print and sign at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
· (Name) Tt\6
Date Rec' d
(p .If 04-
PERMIT NO. 04-. tJS74
ZONING (office use)
PID 2.5". 36(;, {)(JI_ 0
\J\l-\...~ A-r 1H6 LJI'-V:> UOA
A4L'"\' LA M (;3&.J~
(Phone) -.-.JpS / 4 2-'Lc.,.... ~ 'L4 e:>
(Address)
=
I' BUILDE
C any Name)
(Contact Name)
(Address) /:J?j6
{)~/L-/! I ~
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19J;-/-j
.
1-)& ~~,J!"Gc~
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4.~ lVI-V"
(Phone)
-JPhone)
C -e o.'v
t
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/hI/( S:f~~1
TYPE OF WORK 0 New Construction ODeck OPorch ORe-R~ ORe.Siding OLower Level Finish o Fireplace
DAddition OAlteration o Utility Connection isc. \ \/ \I
z "'\e-rtSR-
CODE: DI.R.C. DI.B.c. PROJECT COST IV ALUE $
Type of Construction: I II III IV V A B (excluding land)
Occupancy Group: A B E F H I M R S U l t-Sr~1- t- PVD
Division: I 2 3 4 5
I hereby certify that I have furOlshed mformation on this application which is to the best of my knowledge true and correct. I also certIfy that I am the owner or authonzed agent for the
abovc.mfj'n oned property and that all const ICtion will conform to all existmg sta.t e and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
ofliciaI n re lke thIS p,~rmlt for JUst.. s> Furthermore, I hereby agree that the CIty oflicial or a deSignee may cnter upon the property to perform needed mspectlons.
X --0-'=-- ~ ~~ =:::.. -
Signaturl-
Contractor's License No.
Permit Valuation
Permit Fee
Park Support Fee
SAC
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; 1";
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace limit Fee .
(J 1/
T' P
Paid .f YO. t/U
Date It j/~~ r-
~PJ~A~ro"d
I date
Date
# $
# $
lY~ .1 $ 3 SO. .--
$
# $
# $
$
$
I~$ 380_ ~
i Receipt,No. 4f/q9J
I By 11/"".
()
ThIS IS to certify that the request in the above application and accompanymg documents is m 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
issued
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