HomeMy WebLinkAboutBuilding 08-0647
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
8-W/)~
TIME
ADDRESS 351 0 ~J. <;ec...-.. <)..t--
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ - Ce't7
o FOOTING
o FOUNDATION
o FRAMING
o INSULA -noN t-
)t FINAL ,<-{. reo l
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
. _ n
r\\ \ U \ ~
\J'D~~~ '"\--- .7
. - -
HI 0 ~~ 'flCCL>(,
. .
/) I ..--
r ~'L.c~
liWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRErI!1' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
(Please tYpe or \lrint and siJ1;n at bottom)
ADDRESS
3~, (~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8,2-/. oS
I White
Pink
Yellow
File
City
Applicant
\ PERMIT NO. ()8 _Ofotf1 !
ZONING (office use)
,? /'
1'Jr:' 51'A ~
<,.f- c:; h/
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
OWNER
(Name)
(Phone)
J
(Address)
BUILDER - ~ 6' .' . .
(Company Name) ./-/r-;I' (' /".)11"1 iJ~K5
(Contact N ame) ~, <.. pi... ;\ {)iU r t" I 't ~
(Address) ,;) '?<")L\"9- pi,.,. -tn l" \\ V' . &'.1 i ~ ( I .'1 ~
I )1 '"', '
(Phone) C;~~::>-;'}C 'lr- 7<./00
(Phone)
~~-S"( ~ <{ L/
,
.rnN
TYPE OF WORK 0 New Construction oDeck oPorch RlRe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition OAlteration oUtility Connection
I hereby certify that I have furnished mformation on this appl1cation which IS to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
abovc,mentlOned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
':""' "" =27::: 'o::::.'""o"mmo, , 0"'0' 'woe '"" ,", n" off"", m' 'n'..," =, "'" "PO" ,", ,mp'" m ",'oom ";~ ;;:'~ ~
Signature Contractor's License No. Date
CODE: OI.R.C. OI.B.C.
Type of Constnlction:
Occupancy Group: A B
Division:
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o Misc
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST /V ALUE $
(excluding land)
$
$
$
$
$
$
$
$
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
--
$ /(; . CJ()
() 5lsYZ-
R~t No.
B'i_ /
{/
Water Meter Size 5/8"; I";
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
7fe
& . -U. ()t,
BlIi!,~I.!!.!!- Ofticial
Date
ThiS IS to cerllfy that the request m the above appl1callon and accompanymg documents IS in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner conslltutes a temporary Certificate of Zonmg compl1ance and allows construction tll commence Before occupancy. a Cerllticate Df Occupancy must be
issued
Special Conditions, if any
Planning Director
Date
24 hour noticc for all inspections (952) 447-9850. fax (952) 447..4245
4646 Dakota Street Prior Lake, MN 55372