HomeMy WebLinkAboutBuilding 08-0786
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 4. ~ ec)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
't5ICFINAL
.tJ SITE INSPECTION
COMMENTS:
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DATE TIME
SCHEDULED I () I, (') loa
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CN~f~ br
CONTR.
PERMIT NO.
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o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
() 0 MECH FINAL
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
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ft-WORK SATISFACTORY, PROCEED
o CORRECT "'TlON AND PROCEED
o CORRECf WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447\Q8!'fO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ~kMENTS 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
1. ~?oo'
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 0(. 0 7o~
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(Phorl~!\~" 13') u ( ~.. J ~p r Y,
tlZ"" <6/2. - 5-z.- 7 tf
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(Phone) @/Z) g7S-/ /1I 7
(Please type or print and si~ at bottom)
ADDRES~6pO fNe/kol.
Pr.
S, (",
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
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(Contact Name) ~ J (Phone)
/ 't Of) '~f'/~ Or. ~L1 ~ra"" "AI".
(Address)
BUILDER
(Company Name)
(Address)
PID
ZONING (office use)
n
587
TYPE OF WORK 0 New Construction ODeck OPorch \ti'Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlOn o Alteration OUtility Conn~n
CODE: OLR.C. OLB.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Mise.
B
S U
A
R
5
IV
I
3
V
M
4
II
F
1
III
H
2
I
E
PROJECT COST IV ALUE
(excluding land)
$
I hereby ccrtify that I have furnished Int,)rmation on this application which IS to the best of my knowledge true and wHeCL I also certify that I am the owner or authonzed agent for the
abovc-mcnl1oned property and that all construction will conform to all eXisting state and local laws and will proceed in accmdance with submitted plans I am aware that the building
otlicial can revoke this permll for Just ca urthcrmore, I hereby agree that the City official or a designee may enter upon the property to perform necded InSpcctlOns
x~ 2-O(P U-sS3 9-2CJ~~
Signature Contractor's License No Date
/J
1/
J~':iPt No. ~ J 7 :L
Permit Valuation
Park Support Fee
SAC
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
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
Paid
Date
-" -<- /
If[) /
q~_JY
Buildllll! Otlicial
Date
#
#
#
#
$
$
$
$
$
$
$
$
$ 70
ThiS IS to cerl1fy that the request In the above applicatlOn and accompanYing documents IS In accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner CllnSl1tutcs a temporalY Ccrtificate of ZOning compltance and allows construction to commence, Before occupancy, a CertIficate Df Occupancy must be
issued
Planning Dj rector
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