HomeMy WebLinkAboutBuilding 08-0564
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
9 2/ oe
.
ADDRESS .5 it; '5 I
Qtos~
OWNER
CONTR.
PERMIT NO. E -5''' if
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
.;J'J FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: e.rt:JrJt
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
^ If) '\1
l~.~ ~ 'bV
!Vo 4 ~
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL 7-9850 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
City
Applicant
PERMIT NO. () 8. ~
(Please type or print and si~n at bottom)
ADDRESS
5~j,3 J (;/?O_~' <.A1lO./L/f-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
~~e~R C/?AJ'?4fLl/)4.u~Jc:;,(D~)
(Address) <6 3/ &11/)~S&J/7/l/1-
-- -- - --
PID
Date Rec' d
7. gl og
ZONING (office use)
(Phone)~~ 1/~9/!o- ~3~ !
BUILDER .- Lf~ ~ '
(Company Name)Jb/~~IVr[tL{ C c:&~q;
(Contact Name) fvff- ~/VJ 'r';[J;t"/
(Address) ~"1i?) ~/ffVz~ c.--J-. LPAJ0A/~
(Phone) .5i.) 7-- '7~LJ--~/1/?J
(Phone)QJ ?,;- J'7IV-/"~'"bq
A/1.1_ fJ '6tlt/h ~ ,
"
TYPE OF WORK 0 New Construction ODeck OPorch jifRe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I-JI 700.01:7
I hereby certify that I have hlrnlShed IIltlJrmation on this applicatIOn which IS to the best of my knowledge true and correct. I also certify thai I am the owner or authonzed agent for the
above-me.n.. t ,,,,,," '''''';c~'''' ." """""cr,,,,, ,," ,""''''m '" ," """", "'" ~, '"',' ,,., ~, ,," ,,,,,,,, m "cr"d.,,,,, ,," ,,,"m",,' ,"m . I am aware that the building
~fiCial n;;; ~~ Furthermore. I hereby agree that the City Of~; i~~a~/7 hon the propelty to perform ;e/~;70fl
-;/ VJ/ Signature Contractor's License No. / ~ate
Permit Valuation
Park Support Fee
SAC
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee I $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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
~/ _'1.1
/ (.I c UL/,
=-t. :! '- " f'
Paid
Date
Buildll1g Ofticlal
Dale
#
#
#
#
II
Recdfot No.
80-:-
$
$
$
$
$
$
I $
I $
I ~/ _ , "'
I $ {VI. tV
~llJ
ThiS IS to certify that thc request rn the abovc application and accompanyrng documents IS in accordance wilh the City Zoning Ordinance and may proceed as requcstcd ThIS document
when signed by the City Planner constltutes a temporary Ccrtificate of Zonrng compliance and allows conslructJOn to commence. Before occupancy. a Certificate of Occupancy must bc
ISsued
Planning Director
Dale
24 hour nofice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Condilions, if any