HomeMy WebLinkAboutBuilding 08-0777
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
ADDRESS
1'1 \'2- \
\l\v~ ~,~~ _ Q.cl
OWNER
CONTR.
PHONE NO.
PERMIT NO.
B-II/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I~ .....--....,
. 1I~ \ Jf
01. _ Y /l \ \ )
~~~L' '-/
. f~k. ~ qk.~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o caRR"3!if..' CALL FOR REINSPEcnaN BEFORE COVERING
Inspector Owner/Contr:
CA 44 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
It-, ~ fL-~" ~
" ~
CODE REQU/REMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
'1, vtdl
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 00"- 0771
(Please type or print and si~ at bottom)
ADDRESS
ZONING (offlce use)
171 L\
(Ylv(:)h kvv<"'\ ~-
~l--~.(
\ 4l.-L
fiIlN
s S ~12-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER,-- J '
(Name) \/c, vI.,' (?__\
I ?P-l M~)S h '~~Y'\ (2.... A-
r'
"7 ....!)_.~- ~)'"
(Phone)
q$.2.. - D 7 -ClJ ~
(Address)
Pr"o;,,{ ~A~
;vM
S~Z 77_
BUILDER
(Company Name)
(Contact Name)
(Address)
lj J?c, S
f\l.Lclc;:;;
(2 J.
i Je._
,;}-J:l~.
b S l- ~2-~ -(1.;"1 L
(Phone) Gs i --230 . (.1/0 f'J.
c7.s~~',,\;ll r(\ V\1 ~<; i 2.r._
f~:puh;
0,......*_
('~ l a..... . vv,
.::;:.;z.{ U \k""'- <:.:."
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch J2tfe.Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlOn DAlteration DUtility Connection
CODE: DI.R.C. DI.B.c. o Misc.
Type of Construction: I II III IV V A B PROJECT COST /V ALUE $ _-;;7 c7lJZ)
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certily that I have furnIshed mformatllln 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 w!ll conform to all exisung state and local laws and will proceed in accordance with submItted plans. I am aware that the buildmg
ofticial can revoke tillS permIt for Just cause Furthermore. I hereby agree that the City ofticial or a deSIgnee may enter upon the propeny to perform needed mspectHlnS
'2-0 t:3., &1 ;, I S c;s" 1/ 'Z- '-! b (6
Contractor's License No. Date
x
,C':;:"...----
J/
Signature
i-- Permit Valuation Park Support Fee # $
I Permit Fee $ ~l~ SAC # $
I Plan Check Fee $ Water Meter Size 5/8"; 1"; $
I State Surcharge $ Pressure Reducer $
I Penalty $ Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ Water Tower Fee # $
I Mechanical Permit Fee $ Builder's Deposit $
I Sewer & Water Permit Fee $ Other $
I Gas Fireplace Permit Fee $ TOTAL DUE $ 7~
This Application Becomes Your Building Pennit When Approved Paid ~~~- Ree~o ){, rt, /
Date ,uti ,,,/ By /.
I' , tf
l3uildlllg Otlieial Dale
ThIS IS to certIfY that the request m the above application and accompanymg documents IS m accordance WIth the City Zoning Ordinance and may pmceed as requested ThIS document
when signed by the CIty Planner CllnstItutes a temporary CertifIcate of Zonmg compliance and allows construction to commence Before occupancy, a Ceruticate 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