HomeMy WebLinkAboutBuilding 08-0760
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
(oft Jo~
ADDRESS ::J'Coe'l ~~ ~~ ~i'
OWNER
PHONE NO.
CONTR.
PERMIT NO. ..R - 7 (.L)
--
o FOOTING
o FOUNDATION
o FRAMING
O/NSULA nON
~INAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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....d'" WORK SATISFACTORY, PROCEED
TION AND PROCEED
K, CALL FOR REINSPECTION BEFORE COVERING
Inspectc*: 1 t I Owner!Contr:
C~O 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
Date Rec' d
9,,( 1:(. or
(Please true or urint and sign at bottom)
ADDRESS
Sb~J CcuJ,'v\.q
White
Pink
Yellow
File
City
Applicant
PERMIT NO.
O!'-07(,tj
~ 11J~.o, TR,
V .
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name)
Ei//2. r~ ri!.-t Y' Co-1
J...,<,~ S~rQc..rl1
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9'0 ~c, V I"t tI' It PI #V...e
,
$1' j1~C//
bs/
(Phone) _;;;0 9 "? IYO
(Phone)
(Contact Name)
(Address)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlOn OAlteration OUtility Connecl1on
CODE: DI.R.C. DI.B.c. o Misc.
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 I 2 3 4 5
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t,,,mation 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
I construction will conform to all existing state and local laws and will proceed In accordance with submitted plans. I am are that the building
ereby agree that the cay official or a deSignee may enter upon the propelty to perform needed ?pec i'~ /o?
Contractor's License No. . (Date C
I $
I $
I $
I $
I $
I $
i $
I
$
$ '1(,
Park Support Fee
#
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
SAC
#
Water Meter
Size 5/8"; 1 ";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
...
/7
r
I j(tceipt No.
"6~'
- /
~ fI.. ~ r1
I '
This Application Becomes Your Building Permit When Approved
Paid
Date
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- /
t:;~ ('fA)/'
BuildllH! OIliclal
Date
ThIS IS to certity that the request in the ab..)ve application and accompanYing documents is In accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the Cay Planner constItutes a temporary Certiticate of Zoning 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, ir any