HomeMy WebLinkAboutBuilding 08-0634
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
~~~
TIME
ADDRESS ,5'170
~"'dSq~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
--IS - ~"'S '-1
o FOOTING
o FOUNDATION
o FRAMING
o INSULA T..!Q.fII
~FINAL '?t-LL.. /
o SITE INSPECTION- D
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
\ n ,--...
(\ ALD K 0 1 ~
-,- -- ) --- ,
j:8(wORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORR6.1ERK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: n Owner/Contr:
CAL . 'Usa 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
(Please ~ or print and sign at bottom)
ADDRESS
S 11 D C ( 6 ~ ) t\ ~l J VA
While File
Pink City
Yellow Applicanl
Date Rec I d
8./q.Ob
PERMIT NO. Of) .O('3~ j
<;r
f ( It, v U1 k- t
ZONlNG (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
~=R C~'\t~ {\ 1- Gl V1l~
l+C:V\dt l{ ILSv V\
(Address)
. BURDER(oV\ tyj',( L:.rVil'" _
(Company Name) L; P ~ \ ~'\ ~ (vi l::::-X kv { , V ~ . LL C
(Contact Name) --.b./ll/\ ( \ V U Vllr~ {,1-v1
(Address) r 0 &Ox LPG B I f Y l tY lA jLe,
PID
(Phone) (e I L . 0 tv 0 . '1 ~ 2 7
(Phone) c/) \ L 'L.f L-/O ' I V} t1 1
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing Re-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
. CODE: oI.R.C. oLB.C. PROJECT COST IV ALUE s tl to D , 0 D
Type of Construction: I II ill IV V A B (eXcluding land)
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
I htTeby ceniJy thar I have furnished information on this application which is to the best of my knowledge true and correcl. J also certify thar I am the owner Ilr authorizl'd agent for lhe
above-menl1oned propeny ana that aU construction will conform to all eXisting state ana local laws ana will proceed in accorda.nce with submitted plans. J am aware rhat rhc builaing
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S;g.,,,,,, ) I C"_r'U=~N,. D..
I Permit ~aluation I
I Permit Fee i S
I Plan Check Fee i S
State Surcharge i S
Penalty I $
Plumbing Pennit Fee i $
I Mechanical Permit Fee I $
I Sewer & Water Permit Fee ; $
I Gas Fireplace Permit Feei $
This Application Becomes Your Building Pennit When Approved
Buildinlt OtliCilll
Dllte
1
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I
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I
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I Park Support Fee
I SAC
I Water Meter Size 518"; I";
I Pressure Reducer
j SewerlWater Connection Fee
I Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
# I $
# /S
I $
/ $
# 1$
I
# ! $
I
1$
is
~/S 7(,.C)(I
I
I Rete' t No.
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ThIS is to cmiJ)r thatthc request in the above application and accompanying documents IS in accordance With tne City loning Ordinance and may prOCeed as requested. This document
when signed by the City Planner constitutcs a temporary Certificate of Zoning compliance dnd allows construction 10 commence. Before occupancy. a Certificate of Occupancy musr be
issued
Planning Director
I Paid
I Date
I~ . 00
~ J'J()~
---oate Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372