HomeMy WebLinkAboutBLDG 08-0694
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 5B::::> '1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~9J
c>ver~~ (1 ~ "
CONTR.
PERMIT NO.
8 -f,,9cf
,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
() 0 MECH FINAL
(J:e rQ::) \
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
. "
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jL. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREfj~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1 J J Owner/Contr:
--r
CALL 447-9850 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
9. 3 ,08
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO. 08. o~'1~
(Please type or print and si~n at bottom)
ADDRESS
ZONING (office use)
5")S-~
OVtALLOfJ!L U/L.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
TJ ,tI-L!L
S~L
I~h/~
. ~
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name) . ~~r--' J.>
(Address) /2'1,:1,)
~l!- ~'ffrvv'~
(J~)
P (L I .....v. e.- 4..-t IJ...J 1tvL..
7' S2. -Wr-~/()b
Cj'') L - 2q l.-7t ..it >?
J-' e
(Phone)
(Phone)
S) ; 7!?
> L-L 1/ 7t:- t9-
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofmg
/ OAddition OAlteration OUtility Conne~n
CODE: Q(I.R.C. DI.B.c. 0 Misc
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST /V ALUE $
(excluding land)
I hereby certify that I have furmshed mformation on this application which tS to the best of my knowledge true and correct. I also certify that I am the owner or authorIzed agent for the
above-mentIOn' ropcrty and that all construction w1l1 conform to all eXlstmg state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
:licial c revoke ~~ust cause~ Furthermore, I hereby agree that the City official or a deSignj q :;:;~pon the property to perform nee,h.:3Oj 0 j/
Signature Contractor's License No. Date
I
I
I
\.2--~1
$
$
$
$
$
$
$
$
$
Park Support Fee
SAC
Permit Valuation
#
#
~ ~ C::;)i-j -
"'-----,.. .......,..
$ -
(4.( <..,
$
$
$
$
$
! $
I $
Permit Fee
Water Meter Size 5/8"; I";
Plan Check Fee
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
lG
TOTAL DUE
Gas Fireplace Permit Fee
U~pennit Wh,'n APproved
\I.c
'-1' 1'7 I r"lC:A
'-'[ ,_/
Receipt No, ~b ((:1C
By L {,..H-\ .
This Ap li~tiO'll
~J
Paid
Date
t1 /3> I G(j
~ate I
""
)
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. TIllS 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
isslIed
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