HomeMy WebLinkAboutBLDG 08-0480
DATE TIME
CITY OF PRIOR LAKE ~ B 'oB
INSPECTION NOTICE SCHEDULED
,
ADDRESS 3545 klc-J..l h~ ~',-
OWNER CONTR.
PHONE NO. PERMIT NO. B - 4e()
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~NSULATION o SEWER HOOKUP o FIREPLACE FINAL
INAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
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( \ . ~
'-"'" ..Vet:
." r'\.
I) . / I
T~ 'It ~.
No ~QSF
tl ~ '-1_ <;I:.
p~
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~~ALL FOR REINSPECTION BEFORE COVERING
Inspecto/ . }// ') Owner/Contr:
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
EQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
~ 7C{!teo
;JL/S-3 3
Lll i OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERu.uCATE OF ZONING COMPLIANCE .
AND L llLITY CONNECTION PERMIT
Date Rec'd
1/~.,(Jr
I. WIIile "'de I PERMIT
~.::., ~'. NO. 08. 04-8 0 ~
(Please tTDe or urint aacI si-:!', a!~. . "....)
ADDRESS . V ,Eo J
.6,54-5 -XSlaV1O I'M Cl(0f~
ZONING (oIIice U1Cl
LOT
BLOCK
LEGAL DESCRu AlON (o~ use only)
ADDmON
PID
0" HoGA
(Name)
~hone) gl) 2 - L.J!:ItJ - ~ 7 td (J
Thv).fJlPj
(Address)
=~ Name) :/L Ii;:.;<< "",/ 4Qlflr ,,-d, fJ/J
(Contact Name) ~/)
(Address)5tt'l/ /ne/luY/a/ A,. /t J7~.#wtt.h~. /77"H'
~
(Phone) I/~J'?I.~9..y 3.M
(Phone)
5-5t:l1l OL
. TYPE OF WORK D.New Construction DDedc Dporch 'rdRe.R.ooling DRe-SidiJIg DLower Level Finish 0 Fireplace
DAddilion ~A1teralion OUtilicy Co~n 0 Misc.
. CODE: OX.R.C. OX.B.C. PR.OJECTCOST/VALUE S 5, 7 t..P ()
Type of CODStnu:tion: I n m IV V A B (excluding land)
OccupancyC?. ..,,: A B E F H X M R. S U
Division: 1 2 3 4 5
I hereby crrtilY thaI I II&ve fumished information on Ihis application which is 10 the: bal or my knowledge IIUe and c:omc:t. I also mtity 111&11 am the owner Ill' authorized IlICnt for lhe
above.menboned , . ., ....J and thaI aU construction will conform 10 aU exislilll stale and local laws and will proceed in accordance with submined plans. I am awaK lhat the buildin.
:t11r;"'.., .~ _......._I__......"~~;~8"~."'_..,." ---"7;1011
SiInature Contnctor's License No. Dall:
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Pennit Fee
Mechanical Permit Fee
I Sewer &: Water Pennit Fee
I Gas Pireplace Pennit Pee
I
'$
I
'$
I
I $
'$
.1
1$
'$
I
,$
j $
, Park Support Fee
I SAC
Water Meter SizeS/SIt; 1";
Pressure Reducer
Sewer/Water Connection Pee
Water Tower Pee
Builder's Deposit
Other
TOTAL DUE
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This Application Becomes Your Buildm, Permit When Approyed I
I Paid
, Date
1U-
'7 (J-_ r/U:?
IS
1$
's
I
IS
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IS
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IS
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() i $ 7~"c/V
/1 ~....
I~. iDtNo. ~~""" I
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BuildinR Official
#
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Date
TIlls is to cmify 11I&111Ie requClI in the above application and ac:companyinl documenl5 is in accordance willllhe City Zoninl Ordinan~ and may ,. .. ... J as requcstcd. This documenl
when siJncd by the City Planner constilutes a .....r..oJ)' CertiIlcale of Zoninl compliantt and aIJows construction to commence. Befcn llCaIpancy, a CcrtirlCltc orc ""," cy mUll be
isaued
PlaJminIIL .....
Date Special ~ it lilY
24 hour notice for aU Inspections (9S:Z) 447-98~. fax (m) ...~...~;
16200 Eagle Creek Avenue Prior Lake, MN S5372