HomeMy WebLinkAboutBuilding 08-0612
DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
S~~l.k~:vus
ADDRESS Iloc[ ~ry
, '
OWNER CONTR.
PHONE NO. PERMIT NO. -8 - {PI"Z--
o FOOTING
o FOUNDATION
o FRAMING
~NSULA TION
'Ji!:II"INAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o 0 MECH FINAL
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TsT
o
AI In f\r
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. ....
)Un ~? ~O-S~
/
J< WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT w.em<, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
.,
Owner/Contr:
CAL
-"'~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
e ./4-.. Of)
I White
Pink
Yellow
File
City
Applicant
(Please type or print and sil1;n at bottom)
ADDRESS
J(p 1, 37 S:-...,o J(:,...s C r
,;
PERMITNO'()8.0"/~
SUI
r,.;(),.. t..i~ ~ tn1l
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(N ame)
(Address) I
Vouf. ~ S
(Phone)
L~;
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
,
o New Construction ODeck OPorch ~e-ROOfing
OAdditIon OAlteration OUtility CO~i\n
o Misc.
PID
~r~ r;..C;-;' 9c.lo
ORe-Siding OLower Level Finish
o Fireplace
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group:
Division:
A
R
5
B
S U
PROJECT COST /V ALUE $
(excluding land)
IV
I
3
V
M
4
II
F
I
III
H
2
I
E
A
B
I hereb 'rtify that I have hlrmshed informatIOn on this application which IS tll the best of my knowledge true and correct. I also certify that I am the owner Dr authonzed agent for the
abllv -menu ed p~pelty and th all II suuctllln will conform to all eXIsting state and local laws and wIll proceed In accOldance with submItted plans I am aware that the bUIlding
oltic I c n re )ke IS pelmIt 1'0 ust se FUlthelmOle, I heleby agree that the CIty offiCial or a deSignee may enter upon the property to pellorm needed inspectIOns
X A f -t'f"~r
V \../Sl~ture Contractor's Ltcense No Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
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
This Application Becomes Your Building Permit When Approved
Paid
Date
7(, ,
e./fof
Buildlllg Ofticlal
Date
# $
# $
$
$
# $
# $
$
$
(j $ 7~.(J (J
'fptNO ~sl7
I ~ - /
ThIS IS to certify that the request in the above applicatIon and accompanYing documents IS In accordance WIth the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constltutes a temporary Certificate of Zoning compliance and allows constructlon 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