HomeMy WebLinkAboutBLDG 08-0688
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
oCt; 7/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o )NSULA TI~
JiitiINAL '::>~/
o SITE INSPECildM
COMMENTS:
r ( ;t^<9
w:~~
TIME
CONTR.
PERMIT NO.
0- lffi
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
_ I I () (" (
L'\c ~_yoLf \;, \
..
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 11 h Owner/Contr:
CAL~U50 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
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. OS -~8~
(Please type or print and si~n at bottom)
ADDRESS SO 71 (~PAJj ~.}
4X iK- LoL
ZONING (office use)
~l
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
(Address)
(1v~}L~ !d,';/f~~
-.
~fo -, / e~ Wtx:>J .sJ
BUILDER /J /o.e.' ~ r L L <-
(Company Name) 0. 4r ~A1,u
(Contact Name) 'w ~
(Address) I-?O.lJ; (;)'7 ?r:rtp ~k
(Phone)
15;)-1'-/5-;)'5 i7
OWNER
(Name) .
(Phone)
(Phone)
fnIJ~~ ;11JO
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ~Re-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: ~C. DI.B.c. o Mise. $4'7.o~.o~
Type of Construction: 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 certifY that I have hlrmshed mformation on this application which is to the best of my knowledge trlle and correct. I also certify that I am the owner or authonzed agent for the
above-mentlOne~PlOpelty and(~~ll Cllnst!uct!on will conform to all eXlstmg state and local laws and Will plOceed m accOldance with submItted plans I am awale that the bUlldmg
:fi"" '" ,,~, ~ 'hO~ ~ ,'''''' F, "moo. I hoe", ,wee "''' <hI ,,' JC ";)';;Z3~ '7;;' "'p'"' I'"' 'olm ""~;:rQf
f Signature Contractor's License No - Date
Permit Valuation 2-5" c9C). _ Park Support Fee # $
$ '14...1 S- SAC # $
$ Water Meter Size 5/8"; I"; $
$ \ . z..:::: Pressure Reducer $
$ Sewer/Water Connection Fee # $
$ Water Tower Fee # $
$ Builder's Deposit $
$ Other $
$ TOTAL DUE $
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
LV'"
C df-j Ore.
I Paid 1(,,: / nli
I Date ,!~
.,.--- - --.........
Receipt No. .~c;p' t (L-
By ~
1lU, A~ri~ B,ro~' Yo
Buildng. llicial-----J
-- ~
f (
g Permit W len A~proved
ThiS IS to certify that the request in the above apphcatlOn and accompanymg documents is in accordance With the City Zoning Ordinance and may proceed as requested. TIllS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg comphance and allows construction to commence. Before occupancy, a Certlticate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any