HomeMy WebLinkAboutBuilding 08-0602
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATEf
tC/'t (CO
TIME
ADDRESS
30 ~.$
<[;4s
s-,~L ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
S ~~~2-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"i:l.fINAL l2-~
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
/, OSe- n\ .~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
./
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO;;j:.ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. Owner/Contr:
v
CALL 447.9850 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
I White File
Pink City
J Yellow Applicant
-.,
PERMIT NO. Of (j~'(1 ?_.
(Please tvDe or !Jrint and sign at bottom)
ADDRESS
Date Rec' d
t /L (,r
____"3CG ~ ~~ \' \.r~ ~ct 1<' Q
" \
LEGAL DESCRIPTION (office use only)
7Z 04 ,l
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
K{P ) I
7 '-f Is / 12.14
l
,"r ,-
(Phone) CISe - /f ~!i/- ~J 27
--,
L-
(Address)
ZONING (office use)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ~e"ROOfing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility Conn~
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certifY that I have hlrmshed Information on this applicatIOn which IS to the best of my knowledge true and correct. I also certlty that I am the owner or authorIzcd agent for the
above-mcntloned property and that all construction will conform to all extsting state and local laws and will proceed in accordance with submllled plans I am aware that the buildmg
()ffiCla~ca I' oke thiS pelmlt for Jllst cause FU~OIe. I heleby agree that the CIty offiCIal or a deSignee may enter upon the propelty to peltoI'm needed mspectlOns
-/ I --/, '-_
X ~ Jz ~~j11 / L U'''"' - 8 _ / 2 - Q-2-
'. /I~i~s;;,nature / Contractor's LICense No Date
- .-. --r_--'/ \J
iJ
I R9fbpt No_~~[' 5"4-</
I ~ . J'
() /
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Y OUT Building Permit When Approved
Paid
Date
--; Cr- -
S 11 u t
Buildlllg Ofticial
Date
"
$
$
$
$
$
$
$
$
$ //&? () ()
ThIS IS to certifY that the request in the above applicatIOn and accompanymg documents is m 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