HomeMy WebLinkAboutBuilding 08-0696
DATE TIME
CITY OF PRIOR LAKE '/J/'rJ~
INSPECTION NOTICE SCHEDULED ~
ADDRESS /JJ /5fen ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
B- Vt~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
1!-:INAL 0 PLUMBING FINAL
o SITE INSPECTION 0 0 MECH FINAL
COMMENTS: 11.I~ rot.L
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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Ji.-WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~'1{RK' CALL FOR REINSPECTION BEFORE COVERING
Inspecto '\ Owner/Contr: ,
~AL 44~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siltn at bottom)
ADDRESS
I '7 <0 g 1 FJ't:-e. "" o;...A ftJ '2-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
I White
Pink
Yel10w
File
City
Applicant
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OWNER
(Name)
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(Address)
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BUILDER
(Company Name)
(Contact Name)
IS"V" \ d
(Address)
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(Phone)
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s
(Phone)
(Phone)
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o New ConstructIOn DDeck DPorch ~e.Roofing
DAddltlon OAlteration DUtility ConnectIOn
TYPE~ OW RK
CODE: I.R.C. DI.B.c.
Type of Con ction:
Occupancy Group:
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
A
B
PERMIT NO'8 _ f.p,r.,
ZONING (office use)
PID
9r~- Lt--tO.... 0 .~IO
Con. - J 4 \.... )..~ ~1
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DRe.Siding DLower Level Finish
o Fireplace
o Misc
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furOlshed 1OformatIon on this application which IS 10 the best of my knowledge lrue and correct. I also certIfY that I am the owner or authOrized agent for the
above-mentlOned property and that all Cllnstruction will conform to all exist10g state and local laws and will proceed 10 accordance with submitted plans. I am aware that the build10g
;,.. ,~ ~,"""mm', , '0 e', 'We< "" ", '" offi,.' m' "'5'; m;:,"'" 0"''' '" 'w,"'" m ,"rOm m~':; l;;";;"~
. Signature Contractor's License No. Date
Permit Valuation 2 .::;-u~'. -
Permit Fee $ 'l4 - L"::-
Plan Check Fee $
State Surcharge $ 2--r-
\..' "l
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permiof: Fee $
~I'
T ~ ):oc::: Boil,mgp::( ~T~~'"
C'~I'IWli -,,-' , Datd
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
(G
"1/
If
# $
# $
$
$
# $
# $
$
$
$ 7~ ,g
// '-1/'
Receipt No. ),<0 (C' L-
By !4J ~
I
~ I (' I C;
I - L..1
ThIS IS 10 certify that the request 10 the above applicatIon and accompanY1Og documents IS 10 accordance wllh the Cily Zoning Ordinance and may proceed as requested Tills document
when signed by the Cay Planner constllutes a temporary Certificate of Zon1Og compliance and allows CllnstruCtIon to commence. Before occupancy, a CertIfiCale 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, if any