HomeMy WebLinkAboutBuilding 08-0653
DATE
9 J'I lo~
u ,
It 1/J f- OA- -
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
UtJ/'D -
);y
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
TI SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
(] 0 MECH FINAL
I r ..ILt(?I') r
COMMENTS:
-(
C:!e5e
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Il
\: (~
TIME
'0 - &5'j
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
01 I
f /t(;fo~
~~IJh
'}I-WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC!7~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: W/J Owner/Contr:
~ALL ~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'--~
lNSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE BUILDING PERMIT, \'i[\\
TEMPORARY CERTIFICATE OF ZONING COMPLIANC fYc
AND UTILITY CONNECTION PERMIT ! n ---
II Ii
:.~p-~ ~~~
AUG 2 1 LuUb
I White
Pink
Yellow
File
City
Applicant
I PERM] ")NO _ __.."._..____1
~ "~~-s',:>!
(Please tyoe or orint and si~ at bottom)
ADDRESS
tj tf J '1 ~k Jlv/! -/- (.-1-.
/1/E-
ffQV
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
OWNER ,
(N ame) Ph y ///5 .-t- r~A- k_ I?.c.. V ero
(Address) '-/'-I:Jt/ t=;:,>c //vA-f- {'"-;/. /Z/'E
ZONING (office use)
(Phone) .1l-7 _ 4.i-t - tJ '7'~ /
BUILDER
(Company Name)~-4.... tJe,"M
(Contact Name) ~_ 1
(Address) l/b..:> s A/!w[(- r~
Sn Ivflo /fJ
(Phone) -(;,~
(Phone) Cr)-2-
/Y1/f _~)I 7.... ~
.sd;~ ,? 02..
t;c...~A
,
97'(
~VI
~x
/b27
TYPE OF WORK 0 New Construction ODeck OPorch ~ofmg ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility ConnectIOn
CODE: e1!'.R.C. DI.B.c. o Misc,
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $ ~k7~ -
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5 (excluding land)
I hereby certifY that I have furOlshed mformation on this application which IS to the best of my knowledge true and COlTect. 1 also certify that I am the owner or authorIzed agent for the
above-mentioned property and that all CLlnstrUCtlon Will conform to all eXisting state and local laws and will proceed in accordance with submllted plans I am aware that the buildmg
:Wc" ci::;..:;:m';;;" '12 '"""';;"[7" ,." ,", n" om'ba ~';;';;;; "'00 ,", ~oo,", m ,,"OM O;:Z:~k
/ Signatu~ Con~ractor's License No, Date
r
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
\ Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
- I $
1!~ Yo., Bull"o, p~;t1;;'
13ui(jlllg 01'Th:T..' , Date (
---.........-
$
$
$
""25'<?c9 ,. .,..
14...'1~
Park Support Fee
#
#
#
#
$
$
$
$
$
$
$
$
$
I
j
1
j
1
1
1
1
1
SAC
Water Meter
Size 5/8"; I";
"Lb--
Paid
Date
I
7 &,.. (
9\/ 'l-L I ~
i I
-~
Receipt No, ~~~7~
By .fLO F
ThiS IS tLl 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 Certlflcate of Occupancy must be
issucd
Pressure Reducer
!, Z--)
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
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