HomeMy WebLinkAboutBuilding 08-0659
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS f>A ~ (
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TIME
PHONE NO.
CONTR.
PERMIT NO. /~ M 8'- U S7
OWNER
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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COMMENTS:
64
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR[iRJV CALL FOR REINsPECTION BEFORE COVERING
Inspecto . I h Owner/Contr:
CA~ .~7-9't;;;FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
&.?50b
I White
Pink
Yel10w
File
City
Applicant
PERMIT NO'OB. O~59
,
(Please type or print and sil!:n at bottom)
ADDRESS
ZONING (office use)
5:87/
(rOfTtJ.. ndra
')"'f.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Phone)
(Address)
BUILDER -
(Company Name) t:l/(~rqr:""-cn CtJr?,rr.
V'
(Contact Name) _sl/Y'II/n /&<,,#'1~
(Address) 970 /2avh1t?t"7c://1V.1L
(Phone)
(Phone)
(6~1 )
<.
.:9.0'7- 31" 3/;
/
TYPE OF WORK 0 New Construction ODeck OPorch .lX'Rt-Roofmg
OAddiuon OAlteration OUtility Conrttlo'fI
CODE: DI.R.C. DI.B.C. 0 Misc.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding OLower Level Fimsh
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have ti.JrOlshed mformation on this applical10n which IS to the best of my knowledge true and correct. I also certIfy that I am the owner or authonzed agent For the
above-mentlOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submltted plans I am aware that the buildmg
official can revoke thIS permIt for Just cause Furthermore, I hereby agree that the City official or a deSignee may enter upon the property to perform needed inspections
'~ .=-:-~/:::: ~~s;/og
SignanJre Contractor's License No. Date
x
Permit Valuation I Park Support Fee # $
Permit Fee $ I SAC # $
Plan Check Fee $ I Water Meter Size 5/8"; I"; $
State Surcharge $ I Pressure Reducer $
Penalty $ I Sewer/Water Connection Fee # $
Plumbing Permit Fee $ I Water Tower Fee # $
Mechanical Permit Fee $ I Builder's Deposit $
Sewer & Water Permit Fee $ I Other () $
Gas Fireplace Permit Fee $ l TOTAL DUE $ }&
--/ (
This Application Becomes Your Building Permit When Approved Paid . {IJI ( R~Pt No. Y-cPr-'-f'
Date 5'- ..)J - ,1/ By _ ;
Building Otrlclal Date
ThIS IS to certify that the request in 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 conSl1tutcs a temporary Certificate of Zonmg compliance and allows constrUCl1on to commence. Before occupancy, a Cerl1ticate of Occupancy must be
isslIed
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