HomeMy WebLinkAboutBLDG 08-0724
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
'1)409.
TIME
ADDRESS .358 ( ~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
8 -72((
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TJPN t-
;S. FINAL k r--001
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
( f\ \'
C\r')6L VIJA ,-~ \ J)
.
I .
\ '-
IJofsof~~
/
]LWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORtJ2EC '}h{ALL FOR REINSPECTION BEFORE COVERING
Inspecto, I r/ ) Owner/Contr:
C J~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
3 Yellow
File
City
Applicant
(Please type or print and si~ at bottom)
ADDRESS
3 S- j1 / /3 A.s c..u&O c,(-#
CE-;~ s vU
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
A '/~~
,A4 ,4~' L!> S' /~~;7J1 ~ C?-#'
/ ;f 0 '/ s~ 1<' Ed.(} t4- ~,,/
(Phone)
(Phone)
Date Rec' d
9/ 9, 08
PERMIT NO'OR ~ {) 7~~
ZONING (office use)
PID
TYPE OF WORK 0 New Construction ODeck OPorch 'tiRe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Conneg~
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certily that I have furnished mformatlon on this applicatIon which is to the best of my knowledge true and correct. I also certlly that I am the owner or authOrIzed agent for the
above-mentIOned propert jl!1d that all constructIOn will conform to all eXlstmg state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
~licial can revoke p~~;? ~l'?(~re, I hereby agree that the CIty official or a deSignee may enter upon the property to perform need~m/c~n~ () tJ:
L- /~ Signature Contractor's License No. Date
Permit Valuation
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit 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
-7C -
9~ 9/v V
,&
Buildmg Otlicial
Date
# $
# $
$
$
# $
# $
I $
I
I $
/1 I $ /G
(J
I ~iPtNO Q BI!
t4ly I
ThIS IS to certify that the request in the above application and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporaty Certificate of Zonmg compliance and allows constructIOn to commence. Before occupancy, a CertIficate of Occupancy must be
issucd
Planning Director
Date
24 hour uoticc for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any