HomeMy WebLinkAboutBuilding 08-0619
~/;;~CJlI TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
43ce~ Fox iJULAJ---Q-t- 1 .
ADDRESS
OWNER CONTR.
PHONE NO. PERMIT NO. B-- (p{ 1
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
D)NSULATION 0 SEWER HOOKUP
JZ FINAL 0 PLUMBING FINAL
o SITE INSPECTION {) 0 MECH FINAL
COMMENTS: IAe- t O()~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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A WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREnORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 11M Owner/Contr:
,CAL!44~-~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8. (~otJ
White
Pink
Yellow
File
City
Applicant
PERMIT NO. e>:- ~t I
(Please type or print and sign at bottom)
ADDRESS q,,? 9 b ft'Jx h (/ /Vi
()yT Ne
ZONING (office use)
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
OWNER
(Name)
phIL, ~1S)lvm
?A-m~
(Phone)
'1 (;'2;- m 3-lI2-1f ~
(Address)
BUILDER 1 1......._
(Company Name) HV rrrt! 5mf1?1
(Contact Name) . 1./1 AlU- UeStI7J
(Address) :!?qs 7 6fUrtv$Wl C/( Itve ~
~/.2--'-I9o-) b/I
.' (Phone) .
~ftUii1sttJ~ /U1r1
rI I
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility Connection
CODE: OI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
/ tJ ff fJp et/O
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S
PROJECT COST IV ALUE
(excluding land)
$
U
Ished Infllfm~(l(-;;;-;;;;thi~ which IS to the best of my knowledge true and correct. I also certIfy that I am the owner llf authonzed agent for the -
d t at al n I eXIstIng state and local laws and WIll proceed In accordance with submitted plans I am aware that the buildIng
It Just cause IItherm ,I ereby agree that the cIty official or a deSIgnee may enter upon the propelty to perform needed InspectIons
7...n37$I"2-L{ ~'If7-o~
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Signature
Contractor's License No.
Date
$
$
$
$
$
$
$
$
Park Support Fee
SAC
# $
# $
$
$
# $
# $
i $
I
$
$ TIP ~
I ~~~ No, '~G-~G:r
Water Meter Size 5/8"; I",
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date Ril"ii~
Ii' "
ThIS IS to certIfy that the request In the above application and accompanYIng documents IS in accordance with thc City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constitutes a temporary Certificate of ZonIng 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