HomeMy WebLinkAboutBLDG 08-0601
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS Jilt{; L~...J1... ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
1FINAL
o SITE INSPECTION
COMMENTS:
1lI/J ,LJ-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
() 0 MECH FINAL
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y
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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)W(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE7fj' CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
CAll -~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~UIREMENTS 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
B ,2.. (.f)
(Phone) Cf;L -) a-{v '- \ (~ \
(Phone) CZ \2 -- )} u.- \ \ \ \
I./'At U VV'.-J ~)) 'J 1-.
1 White
Pink
Yellow
File
City
Applicant
(Please type or print and si~n at bottom)
ADDRESS
,] / ? Z; ~I ILl I,) r"7J (~( IL .
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
, (Address)
BUILDER ,/ I ^ \}
(Company Name)~rt'O J.}-cx\.<.-l L f,,,, ~ \\\
(Contact Name) (~t\(l~ \ k \
(Address) \,}~O, '\\l'>\\- V\J\~ Qt\.
t:J<--1C:.)~ "., -,
OQL"~
. I
TYPE OF WORK 0 New Construction DDeck DPorch ~ .,.lilig
DAddition DAlteration DUtility Conne ...A. '
o Misc.
PERMIT NO. 0&/. ()CO /
ZONING (office use)
PID
~e-Siding DLower Level Finish
o Fireplace
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group:
Division:
B
S
IV
I
3
V
M
4
A
R
5
II
F
I
III
H
2
I
E
U
PROJECT COST/VALUE $
(excluding land)
A
B
at I have furnished mformatlOn on this application which is to the best of my knowledge true and correct. I also certIfy that I am the owner or allthollZed agent for the
property and that all constructIOn WIll conform to all eXlstmg state and locall s and will proceed in accordance with sllbmllted plans I am aware that the buildmg
e thIS permIt fOf]USt '\'7)Furthermore, I hereby agree that the CIty official or esignee may enter upon the propelty to perform ne:~ed mspectHlnS . ~)
X./ Cl, ,J,./ ~~ - . ),~~3 y- j)~0J
'--- _) Signature Contractor's License No. - Date
Permit Valuation
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
-/(, .07)
e. /7- _ 0 e,
Paid
Date
l3uild1l1g OIlicial
Date
# $
# $
$
$ 1
# $ 1
# $ 1
$ 1
$ I
() $ ,/r;-. () () 1
Retetpt No. 5(, $~eJ
O'
ThIS IS to certIfy that the request m 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