HomeMy WebLinkAboutBuilding 08-0697
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5500
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
pFINAL
o SITE INSPECTION
DATE TIME
SCHEDULED cr! :2..Cf &6
rJ~w~~
CONTR.
PERMIT NO.
A - {p C?7
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 GASLJNE AIR TST
O.
COMMENTS: S'~I ~ ~~ {
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~WORK SATISFACTORY, PROCEED
/ 0 CORRECT ACTION AND PROCEED
o CORii1)RCT K CALL FOR REINSPECTJON BEFORE COVERING
Inspector: Owner/Contr: .
CA L- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
LNSNOTJ
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvjle or print and sign at bottoltl) _ _. _ .
ADDRESS
5500 C (JJ ft~IAJ(}()~ f, !lIf,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER /(l./I--E- ((k~~1l./
(Name)
(Address) .5~OO CM"q <. WOIJIj) t{.T Jl/i
-. - - - -. - ,-
Date Rec' d
r: J. 0 6
I While
Pink
Yellow
File
City
Applicant
PERMIT NO. ()B. 0&11-
ZONING (office use)
PID
?SJ - 9i't.., 510 I
(Phone)
BUILDER
(Company Name)J'1AJ S.)ff~.'t:;".~)e.rf.ell;~ ~
(Contact Name) -.$""" l-I "t v r;. klV
(Address) loV~t5 (J""hVf 4Vi. Ai 5"T_~<.-~
(Phone)
(Phone)
I f51?()
(;; 51, ))<<f-SS:Xd
rnSI-)J Y-y)y~
TYPE OF WORK 0 New Construction DDeck OPorch [)jte-Roofing ~e-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtiIity Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
o Mise.
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
/)1.()0 o$t.. .
I hereby certify that I have h'rnlShed InformatIon on this applicatIOn which is to the best of my knowledge true and correct. I also certIfy that I am the owner or authof!zed agent for the
above-mentioned property and that all oJnstruction will conform to all eXIstIng state and local laws and WIll proceed in accordance with submitted plans I am aware that the buildIng
:m"" "" "~,.,~" '7 "0" 1m "crmo". I h",,,, "'" 'h" ", <Ill Offi"'~ ;';:; ~;~ ""'" ", '00"'''' eo '" 'o,m ""''''v;,''; '1/S Io..K
Sign Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I
I
I Plumbing Permit Fee
I
I Mechanical Permit Fee
, Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
State Surcharge
Penalty
--I
I $
I $
I $
I $
I $
I $
$
$
This Application Becomes Y OUf BulIding Pennit When Approved
BuildIng Oflicial
Date
Park Support Fee
SAC
Builder's Deposit
Other
I $
I $
I
f $
I $
$
I $
I
: $
I
I $ J
I _
/;/ '$ 7(P OV J
~Pt~O~7Q
()
#
#
.J
!
J
J
J
J
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
TOTAL DUE
Paid '7~./I'V /'
Date 9...? CI Y
ThIS IS to certIfy that the request in the above applicatIOn and accompanYIng documents is In accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the CIty Planner CllnstItutes a temporary Certificate of ZonIng Cllmpliance and allows construction to commence. Before occupancy, a Certtficate 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