HomeMy WebLinkAboutBLDG 08-0631
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5:).50
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.;&{ FINAL
o SITE INSPECTION
DATE
SCHEDULED ~/~I/
~;u.o (}y.~11'J?
TIME
CONTR.
PERMIT NO.
-23 -!1. 3)
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
o
COMMENTS: -CiVL l~
~tc>>r
. J /\
F"'.( IV (/;
( A05R_~~("-
~ .
- .
/l
XWORK SATISFACTORY, PROCEED
o CORR:12CT nON AND PROCEED
o CORREC W,sJ1f\ALL FOR REINSPECTION BEFORE COVERING
Inspector: 1 / V Owner/Contr:
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
ADDRESS
j~fX:) ~
DATE
SCHEDULED 7jJs.j1JfV
&~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
CONTR.
PERMIT NO. 6- /.;")/
OWNER
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
;! INSULATION 0 SEWER HOOKUP
FINAL 0 PLUMBING FINAL
o SITE INSPECTION () 0 MECH FINAL
COMMENTS: [.p t e; () P
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/7 J r
/. K()V~ ",ct
f -
, ,-...(
O()r~ la.s ~
y
I
AA 11 !\ ~
~ loMoI
N" ~,J tk~
. r -
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)( CORRnc Oflf) CAL: FOR REINSPECTION BEFORE COVERING
, In~ctor: I /~ Owner/Contr:
CA L ~~OR 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
"""'lVESO'\~
. Jplease type or print and sil!;n at bottom)
",,- ~DDRESS
~j-:J7J - ~:Z6(}
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. D8 -~31
~
ZONING (office use)
~71
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
-j- .~'=~ 4~ ~
(Addre~v
(C~~~~NameU~~ f'~ (Phone)?~;J-YY6$5sy
(Contact Namf - /i~- M~~ - / /) (Phone)
(Address) (J.V(!)!- ,/ JfI.'ST j)~ ~4 ,ffi.tK- ~ ~53? 7
I
TYPE OF WORK 0 New Construction ODeck OPorch Mbe-ROOfing ORe-Siding OLower Level Finish 0 Fireplace
OAddiuon o Alteration OUtility Conne~~
CODE: fHi.R.C. DI.B.c.
Type of ~stroction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
(Phone)
972-Yr'o-,s-3S1
, F -
o Misc.
PROJECT COST /V ALUE
(excluding land)
$
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
r- Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I hereby certifY that I have hlrnished mformatIon on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorIzed agent for the
above.ment ned plOpeny and that all CLlnStI uctIon will conform to all eXlstmg state and local laws and will proceed m accordance with submitted plans I am aware that the bUlldmg
1c~al ca evoke thl~for JUs "::~FlllthelmOle, I heleby agree that the City offiCIal or a deSignee may enter upon the plOpeny to pel form needed mspectlOns
f - 'Slgnatur~ I Contractor's LIcense No Date
(/', ~
Permit Valuation Z- ~O . .- I Park Support Fee # $
'1 4- 7"; I SAC # $
I Water Meter Size 5/8"; 1"; $
( 2-"'--1 Pressure Reducer $
.. ~
\ Sewer/Water Connection Fee # $
I Water Tower Fee # $
1 Builder's Deposit $
$
$
Permit Fee
State Surcharge
$
$
$
$
$
$
$
I $ ,
":8 /'T,I+,o"~. es.... fiilding Permit ~n APtoved
~ ~(- ~ ~/(11C(t:!>
BlIildl~OIliclal ) ~ate
-- ".
Other
Plan Check Fee
Paid
Date
.-/ .-
{~- I
8/rl/tP8
r
-r~-. -
Receipt No, S:"",i 7
B yfl!{j /If-.
TOTAL DUE
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 Zonmg 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
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any