HomeMy WebLinkAboutBLDG 08-0416
we TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS J l.f915 W~~~~ .pkw~
OWNER CONTR. J
PHONE NO. PERMIT NO. 8-t{((J
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~INAL 0 PLUMBING FINAL
o SITE INSPECTION /) 0 MECH FINAL
COMMENTS: ~ tJ
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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yt{ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ( I!J Owner/Contr:
CALL ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please type or print and sign at bottom)
RDDRESS I 'f 7 I S- - / 'I- 9 3j
1. White File I PERMIT NO [3
2. Pink City . 0 . 04-/0
3 . Yellow Applicant
lOT
BLOCK
~JODmON
J ,{ L.a (' P, tV W ZONING (office
btI ~ ~~ use)
(p (/#/75
zS. 3()(P. 001-. 0
PID
LEGRL DESCRIPTION (office use only)
OWNER
(Nome)
(Rddress) IV' IS-- - Ilf1"3 s-
t/IL/..-Ie (! JJILl>S 7i:Ja//V~1!:
~ .50e-L..H7hv
HI ipj
(Phone)
NvJ
,fI~1) 7Iy ~ teAlht-- ~r:
eJt-E;lt.'1L- ~~
/.5"r. 77/. <1707
170/
BUD.OER
(Company Nome) lJIf1eL INlJI-(S-nt/ e- J /Nt.- _ (Phone) 'S7. f9~. II? (}
,
(Contact Nome) t!..LA-:t .+- ., Je-l"7""E- (Phone)
(Rddress) l/,).s Ifu4J J:)~ A7> ~ LJ~Lb~ S-S-IJ J "I
l>~v~ MAl
TYPE Of WORK 0 New Construction ODeck o Porch ~-ROOfing ORe-Siding OLower Level finish
D Fireplace
DAddition DAlterotion DUtility Connection
(ODE: DLR.C DI.B.c.
Type of Construction:
Occupancy Group:
S
Division:
I
R B f.
o Mise:
n m IV V R B
F HIM R S U PROJECT COSTNALUf.
I 2 3 4 5 (excluding land)
I hereby certify thot I have furnished information on this application which is to the best of my knowledge true and correct I also certify that I om the
owner or authorized agent for the above-mentioned property and that all construction Will conform to all existing state and local laws and win
proceed in accordance wi .)uL"j~tted plans. I am aware that the building offidal can revoke this permit for just cause. Furthermore. I hereby agree
thot the dty official or i1esignee may nter upon the property to perform needed inspections.
~
/ ----I Signature
b( 2GJ dO'
eLJt-J fr flt11l -FRF&- 3MtJ
x
Dote
Contractor's license No.
1 Permit Valuation
Park Support fee
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