HomeMy WebLinkAboutBuilding 08-0754
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS IS 5" L 0
1S~M, 0-r
I 1
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~NAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~. ~ '"<<:> ~
- .....
(\ If). {'./
\......-\0 ~ WLt....-- t- \ 19
DATE TIME
q /rO/tiCJ
I I
g - 75~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
No ~~ ~CC~
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COb1~yf>RK' CALL FOR REINSPECTlON BEFORE COVERING
Inspe or" 7H Owner/Contr:
C L ~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~~EQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
LNSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9./1,08
I White
Pink
Yellow
File
City
Applicant
(Please type or print and si~n at bottom)
ADDRESS
/55/ tJ /?;reel, tf
fJo IJtLr ReI 5 E
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER I/:.
(Name) ~
A-bJd/J )
. -,
(Phone) &/2 -7'1q-/~/S
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction ODeck OPorch ~~.Roofmg
OAdditlOn OAlteration o Utility Conn;/tThn
o Misc.
I PERMIT NO. ()8. 07.=,4--
I
ZONING (office use)
PID
ORe-Siding OLower Level Finish
o Fireplace
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group:
Division:
I
E
II
F
1
III
H
2
IV
I
3
V
M
4
A
R
5
B
S U
PROJECT COST/VALUE $
(excluding land)
A
B
I hereby certify that I have hlrnlshed mfor atlOn on this application which is to the best of my knowledge true and wITecr. I also certifY that I am the owner or authoflzed agent for the
ab~ve-mentlOned property and that all c struction will conform to all eXlstmg statc and local laws and will proceed in accordance with submitted plans I am "ware that the bT1dmg
:lrClal can this permit for Just cal 'ij;;;re, I hereby agree that the City official or a deSIgnee may enter upon the propelty to perform neede~7;); / ~ r'
signature Contractor's License No ., Date I
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 Your Building Permit When Approved
Paid -/ I,,-~ --
Date " ~. 17- uflJ
Buildlllg Official
Date
# $
# $
$
$
# $
# $
$
$
$ 7&.-()7j
Re~e'-~o:-~?OJ 1
By /." I
o
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 ducument
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows constructIOn to commence. Before occupancy, a Certificate uf Occupancy must be
issued
Planning Director
Date
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any