HomeMy WebLinkAboutBuilding 08-0654
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
L/L/2L{
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
9' INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
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( 1 ..( 4J)
""""'" \ - ,. ...............
TIME
. DATE
SCHEDULED ?J4~~
tnx fie JUt-- (l~
CONTR.
PERMIT NO.
~
V -
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
O~ MH FINAL
ro
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V'JI
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
n.
Ir~
- "-
Nt) mer oft
~ORK SA~IS~ACT~RY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRERORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'h Owner/Contr: .
y
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT, If!l!
TEMPORARY CERTIFICATE OF ZONING COMPLIAN~E
AND UTILITY CONNECTION PERMIT II \'! I
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Pink
3 Yellow
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File
City
Applicant
PERl\fIT -N~OB'=~~S'=4:j
(Please type or print and siltll at bottom)
ADDRESS
'i If /) d..
h,,K ~/11- (j.. _ .../.e.--
LEGAL DESCRIPTION (office use only)
_(C~
BLOCK
ADDITION
PID
OWNER
(Name) =:1),,"/\
h,S#f
'h,X' ~~. (' 1-_ /l/~
(Phone) 1,)'2-- L{!zl., ():J L/ j;.,
(Address) 'I'70d
BUILDER R
(Company NameLl..nq>~
(Contact Name) ~~
(Address) tftJ. 5 ~4)/~
r k.c//1t s:c I o-ft .~/I S
ZONING (office use) ,
(Phone) ~.\-I j"y ~ - 2...0 L.O-
(Phone) ~Sl-t- hn 7 I (;;). 5'
rd- ,~,'-k ;)O~
TYPE OF WORK 0 New Construction ODeck OPorch ~Roofing
~ OAddition OAlteration OUtility Connection
O 0 Mise
CODE: I.R.C. I.B.C.
Type of Construction:
Occupancy Group:
Division:
ORe-Siding OLower Level Finish 0 Fireplace
A
I
E
B
S V
PROJECT COST/VALVE $ ~_\y'I-
(excluding land)
II
F
1
III
H
2
IV
I
3
V
M
4
A
R
5
B
I hereby certify that I have furnIshed mformation on this application which is to the best of my knowledge true and correct. I also certIfy that I am the owner or authorIzed agent for the
above-mentlOned property and that all CllnstruCllon will conform to all eXlst10g state and local laws and will proceed in accordance with submllted plans I am aware that the build10g
officia~hls permit for Just cauM.urthermore, I hereby agree that the cIty official or a deSignee may enter upon the property to perform needed 1OspectIon~.
X L/~ ~ ">n'-"'L-i-/dd _71'r73 {~ Y-2.-'-~
./" Sign1itUre t Contractor's License No Date
Permit Valuation :?- c:;w . -
Permit Fee $ -r~ 7'-
Plan Check Fee $ ... ,
State Surcharge $ I. 2-';-
Penalty $ ,
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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
J
B''"m'' ":"' B"ildin, P'~~%;Pld
uildlllg OHiciar-- 'Date
$
$
$
$
$
$
$
$
$
7b~ -
Paid
Date
7b,
~/LJ /" ec
I I
ReceiP~No. - 515
By
.
ThIS IS to certity that the request 10 the above applicatIon and accompanY1Og documents is 10 accordance with the City Zoning Ordinance and may proceed as requested TI1IS document
when signed by the City Planner constltutes 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