HomeMy WebLinkAboutBuilding 08-0735
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
L{2~.c; ~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
?~SULA TION 0 SEWER HOOKUP
NAL 0 PLUMBING FINAL
o SITE INSPECTION {} 0 ~EC FINAL
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DATE
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TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'h Owner/Contr: .
~ALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
C; to, if
White
Pink
Yellow
File
City
Applicant
(Please type or print and sign at bottom)
ADDRESS
CLJ;:FeII n/j1tJ
~-/V.
4-v!-'5
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
BUILDER r- . ,L . . /
(Company Name) /1"-" f /'!nt:Jlu il~;'Uf<' ~L.
(Contact Name) J".s.. ph 'f- YV\a."'~~ I .l
(Address) B...~c..LC;- .p/,.,.b~LA \:)r. I~LV. m\AJ
TYPE OF WORK 0 New Construction ODeck o Porch ~e-ROOfmg
DAdditlon o Alteration DUtility conri~
CODE: DI.R.C. DI.B.c. 0 Mise.
Type of Constnlction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
I PERMIT NO. OS. O'ZS~
ZONING (office use)
PID
(Phone) 9..,~Jr- '7Y~rJ
(Phone)
C;-SI'l <.J L}
.
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hereby certifY that I have hlrnished mt()rmatlon lln 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-menl1oned property and that all construction WIll conform to all exisl1ng state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
official can revoke thIS permit for Just cause Furthermore, I hereby agree that the CIty official or a deSignee may enter upon the property to perform needed mspectlons
x
~~-~
-/
Contractor's License No.
Signature
Permit Valuation
Park Support Fee
SAC
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
~I# - }
1',,~ d_ 'ff'
Bllildtt1~ Otrlcial
Date
9-10 -0 rr
Date
# $
# $
$
$
# $
# $
$
$
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7~ -
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ThIS IS to certifY 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 .:onstltutes a tempor<llY 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, if any