HomeMy WebLinkAboutBuilding 08-0637
DATE TIME
CITY OF PRIOR LAKE 8j;l[/8
INSPECTION NOTICE SCHEDULED
ADDRESS J 6'l;LZ-- 1Jcp~~~
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OWNER CONTR.
PHONE NO. PERMIT NO. R -- CoY)
-
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~NAL o PLUMBING FINAL o GAS LINE AIR TST
o TE INSPECTION o MECH FINAL 0
COMMENTS:
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X.WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREC(]!.ORK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: OWner/Contr:
CALL.: ~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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/}y '/ CITY OF PRIOR LAKE BUILDING PERMIT,
(j TEMPORARY CERuJlICATE OF WNING COMPLIANCE..
AND lJ J u..ITY CONNECTION PERMIT
1. WIIite File
2. Pink City
] Yellow Appla..
PERMIT NO. 0 8" 0 ".$ /
I
ZONING (office use)
(Please type or print and silll at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
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LOT
BLOCK
ADDITION
OWNER --;-)
(Name) ~A/bI tf ,t--1:1 r/d UI?-
t
05 f/r=> i41
(Phone)
(Address)
PID
Date Rec' d
8 r'1 ,. Oil
BUILDER '
(Company Name) f-h ~u)~""'" ~~.Mo.&-eQ.\.t'\G. (phone) ~p ~ SS'$; t:')
(Contact Name) ~-. -.":";. <P_~ 1Z Ste=>lJ E2- - (Phone) t?/ ~ 3A8 - 8&,,":)
(Address)qOOl e. ,fSla:>/Y)tn.:J+o,,"-, H~t!".Wa,-!,' ~-;1"Ij'b/-- IJ\~ 5S'f;:tD
TYPE OF WORK 0 New Construction ODed OPorch ~e.Roofing OlRe.Siding OLower Level Finish 0 Fireplace
OAddition OAlteration DUtility Connection 0 Misc. ...' ~ "'R\~ -+ "Reo1" Ot.) l-Y
. CODE: OJ.R.C. OI.B.C. PROJECT COST/VALUE $ 14Jd-. LJ
Type of Construction: J n m IV V A B (excluding land) ·
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
I ht.'feby certifY Ihatl have furnished information on this application which is 10 the best of my knowledge trUe and correct. I also certifY lhatl am Ihe owner or authorizcd agent for the
above.menllone "-ro,'} and thatlU construction will conform to III existinc state and loclllaws and will proceed in accorclance with submilled plans. I am aware Ihat the buUding
;oal r is permit for ~2ermore. I hereby aIRe lhat the city o~;+~~~en: upon the property to, ..r_:""" R~~?
Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
I State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee S
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
. Park Support Fee
SAC
I Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
I TOTAL DUE
This Application Becomes Your BuIldlnl Permit When Approved
I Paid
I Date
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Buildinll Official
Dale
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thIS is to certify that the request in the above application and accompanying doaaments is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a .....r-...ry Ccrtlllcate of Zoning compliance and aUows constrUction to commence. Before occupancy, a Ct.'I1iru:ate of Ocrupancy must be
issued
P1anning Director
Date Special ConditiOlll, If any
24 hour notice for alllnspcctlonl (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372