HomeMy WebLinkAboutBuiilding 07-0789
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
4-tl-a(
PHONE NO.
14085 RUTGERS STNE
DAVID AND KAREN
STUTELBERG
Re-Side 07-0789
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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8'""9VORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~RK~L FOR REINSPECTION BEFORE COVERING
Inspector: !/V Owner/Contr:
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
White
Pink
Yellow
File
Citv
Applicant
(Please type or print and si?;n at bottom)
ADDRESS J J
I <-r{J E6
KLL ~~
"icD.n,{;,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWN~
(Na~ l\-!I-l- ;7
(Address)
~Ld~G.,_~b-L ~
(Phone)
i BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing "qAe-siding
OAddinon OAlteration OUtility Connection CJ
CODE: DI.R.C. DI.B.C. 0 Mise.
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
Date Rec' d
8~ /7 o?
PERMIT NO.07 G7&9 j
ZONING (office use)
PID 24- _ /2.4-.007.0
7?::6' blJ 7-o~
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE
(excluding land)
$
I hereby certi that I haw tmnIshed lllformation on this applicatllJn which IS to the best of my knowledge true and COlTeet. I also certify that I am the OWl1er or authollzed agent I'll" the
dhow-men l1ed property and that .III Clll1structlon will conform to all CXlst1l1g state dnd locdllaws and will proceed 111 accordance with submitted plans I am dwarc that the bUlld1l1g
"ffIU,lI c leV! e ~~s1..:;tt~e, I helehy aglee that the city offiCIal or a deSIgnee may enter upon the plOpeny (() pcJtorm needeJ)tlV' i.) 7
SIgnature ~ Contractor's LlCense No Date
Permit Valuation
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; 1",
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permll Fee
This Application Becomes Your Building Permit When Approved
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I
Paid
Date
Buildlllg Ufflclal
Date
# $
# $
$
I $
# I $
i $
# I
$
$ I
$ '/0 J
/1
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Rectpt No. ~'f j &J
E>f.
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ThiS IS to certify that the request in the above applicatIon and accompanYing documents is In accordance with the City Zoning Ordinance and may procecd as requested ThiS document
whell signed by the City Planner constItutes a temporary Certificate of ZOllmg compliance and allows construction to commence Befon..' occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hOllr notice for all inspections (952) 447-9S50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any