HomeMy WebLinkAboutBuilding 08-0779
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~~~~
rr~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
!y_NSULA TION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
(] 0 ME~ FINAL
(I n t,,~
~.
COMMENTS:
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DATE TIME
lolu/oB
g - i7Cf
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
61(#I~
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;;(WORK SATISFACTORY, PROCEED
o COR~nECT CTION AND PROCEED
o CORR T ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspect: '^' Owner/Contr:
CJ..u.UsSO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V
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 si~ at bottom)
ADDRESS
533'3 c..eo5'S~~~ S.f- S.I:.
'CIU( '-...'t~ ,..... f~'71...
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
.To(..
I3c<-
I White
Pink
J Yellow
File
City
Applicant
PERMIT NO.66 ,77Cf
. ,
ZONING (office use)
PID
(Phone)
6 /1.. - 1. 7 IJ - tf. 8 71..
(Address) 5 J'J '3
C I' 0 O""c" 01 lc ~ .f I-
stff.
BUILDER
(Company Name)
(Contact Name) JCJ<.... ~
(Address)
(Phone)
(Phone) Cft-z7o- (;.871.
TYPE OF WORK 0 New Construction ODeck OPorch [ZRe-Roofmg ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: DI.R.C. DI.B.c. o Mise.
Type of Construction: I II III IV V A B PROJECT COST /V ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
.,. -..
J hereby certify that I have hlrmshed mformation on this application whIch is to the best of my knowledge true and correct. I also certify that I am the owner or authorIzed agent for the
above-mentioned property and that all construction will conform to all eXlstmg state and local laws and WIll proceed in accordance with submitted plans J am aware that the buildmg
official can revoke thIS permIt for Just cause Furthermore, J hereby agree that the CIty official or a designee may enter upon the property to perform needed mspectllms
~ k Ifr-'" Signature
I
Permit Valuation
I
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I
I Mechanical Permit Fee
I Sewer & Water Permit Fee
\ Gas FIreplace Permit Fe~
-- t~ I
1JJPP~O"' Bolldmg P;;;'j z<-T~
BlIild1l1g omclllt--...~ J Date I
x
q/Z.f'/67
Contractor's License No.
Date
$
$
$
$
$
$
$
$
"2-5"<%). - I
7 A.-.1<; 1
-~-. I
l~ '2-~ 1
I
$
$
$
$
$
$
$
$
$
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
7~., ,.
Receiot ~Oi S&&f?f
By 1~fA-. I
Paid
Date
-,
l'R. f
lf~
.-
ThIS IS to cerufy that the request m 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 CLlnstltutes a temporary Certificate of Zonmg complIance and allows constructIon to commence. Before occupancy, a CertIficate of Occupancy must be
isslled
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