HomeMy WebLinkAboutBuilding 08-0604
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
piNAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~h'~J
17/2 7 }1~r~ tow lA..- r2d
CONTR.
PERMIT NO.
8 -/"c'-l
I
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GI.9L1NE AI~T
)!(JrO r-oo J
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRtfi, CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr:
CALL 447- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
. -./
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
I '7 I ').. 7
/J/JushfOf."V/1 rd
I White
Pink
Yellow
File
City
Applicant
Date Rec' d
&. (l, oY
PERMIT NO.of () ~o4-- i
, ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
./l1a.(' k ..e. . C; ha. ('On
_elf1 7 /VlLl.5hrnt.-vrJ .Y'd
R ("lQ l/e"" r
(Phone)
-'-II
.55372
BUILDER L1
(Company Name) J70l""I-?c8Vrt!:
(Contact Name) ft1'chcl/~
(Address) 9909..5 Shof"~
DIsfe
TYPE OF WORK 0 New Construction ODeck OPorch
DAddition OAlteration OUtility Conn
a,ar- Aa.."c
;VI /V
/'-1,IV L;9-J "I L
Re-Roofing
tion
ORe-Siding
OLower Level Finish
o Fireplace
J
J
j
j
j
J
J
J
J
Park Support Fee
SAC
;),70
(Phone)
(Phone)
p / V /'V') ov-fh
, ,.
CODE: OI.R.C. OI.B.C. o Mise.
Type of Construction: I II III IV V A B PROJECT COST /V ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certity that I have furnished mf'Jrmation on this applicatIOn which is to the best of my knowJcdge true and correct. I also certIfy that I am the owner or authorized agent for the
above-mentIOned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
onicial can ~ (~r Ju;-;"~ermore, I hereby agree that the City official or a deSIgnee may enter upon the propelty to perform needed mspectlons
X ,,---/ ' . ~;..;;w.~ . J-., c ")0580107 . 08/;] 1':<008
Signature Contractor's License No. Date
Permit Valuation
Permit Fee
$
$
$
$
$
I $
I
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Building 01licial
Date
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
.AI' _
/(jl -
~ , ,J, III
# $
# $
$
$
# $
# $
$
$
I ) $ --'/& -
[/
JCi~t No. Do IT /
ThIS IS to certity that the request m the above applicatIon and accompanymg documents is in 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 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, it any