HomeMy WebLinkAboutBLDG 08-0662
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS (t{\.ll
~i~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o...",NSULA TION 0 SEWER HOOKUP
~INAL 0 PLUMBING FINAL
o SITE INSPECTION /J 0 MECH FINAL
COMMENTS: It-a" t6>O \~
^
l. ~i'JtJl~
I " .....
..K.~c~ ~J f-\~/
/
. ...
..-. I II).., \"'.r
~t~~'"' l~ 'yJ
j1dO
TIME
o - I.e~ '-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/).
f(~-b ~ I'~
o WORK SATISFACTORY, PROCEED
ryl-CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: D'-J Owner/Contr:
CALtJ44WsO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETY!
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing
/ OAddition o Alteration OUtility ConnectIon
CODE: ~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
I I hereby eertIly that I have furmshed mformatIon on this applicatIOn which IS to the best of my knowledge true and correct I aIso certIly that I am the owner or authorIzed agent f"r the
I above-mcntlOned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
o ~l can.A~; :flslSltgCnaausej~::e~~ agree that the City official or a deSignee may enter upon the property to perform needed ~~' tI~a~tSe/ ~)J
~ /j Contractor's License No (
.... --
$
$
$
$
$
$
$
$
$
(Please type or print and sign at bottom)
ADDRESS
I '-f~77
(Y11t tV rTZ 1/:'
R-b
/
f R. I () I~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
hARL/ !<.,
I
It..fCJ?7
K ty/,,} {.A;I L ~{{, /'1/
(Jrl A-/U i r" L"'- /(j)
/
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Permit Valuation -2 -PHJ. ,-
Permit Fee $ (4-"~
Plan Check Fee $
State Surcharge $ (-~
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
J
,ro~Buildm. ~'~l;Z;';
BlIid1l1g0ftici,~ "'Date'"
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. ~ _~" '1-
ZONING (office use)
I rl!cr- /JIIL{
J '
.s-.5'-37.2- -
PID
(Phone)
(;1 f1- - 'fY7- <:{ & 9S
PRIDe
{ A- KE, /YIf'J,
S;-~37,;L
(Phone)
(Phone)
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
Park Support Fee
#
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
I CP- -
Paid
Date
-
{ ft:J-'- I
pJz. ~/O~
i I
,
R.eceiPt No. >}q 751
By (<.tJI-I-..
j,
ThIS IS to eertlly that the request in the above applicatIOn and accompanyrng documents IS rn accordance With the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constltutcs a temporary Certificate of Zoning compliance and allows constructIon to commence Before occupancy, a Certtficate 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