HomeMy WebLinkAboutBuilding 08-0641
CITY OF PRIOR LAKE
INSPECTION NOTICE
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J.LNA Q>~
TIME
SCHEDULED
ADDRESS 163qq P,'&:,
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.Ji FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
~~/ v-) 8. ~4-1
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
..7) 0 ME1.:INAL .
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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)tf. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~CORK' 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!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPUANCE
AND UTILITY CONNECTION PERMIT
(Please tyor: or ~ and sign at bottom)
ADDRESS
,5'3<-14- BiCi ~j\i PCl SJ 10 LJ
J Wlutt: Fill:
2 Pulk e'il)
.3. Yellow .4.pph.:ant
fno'r LC1_h
Date Rec' d
8. 2,-P, Clf:;
PERMIT NO. 08. OC:7+/
ZONING (offireu.<e)
LEGAL DESCRll" nON (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
f-Ol..) lv, Chn'S
/5-341 8, C; Ho(,~ fo.JJ
(Phone)
ffl V L cJUL
(Address)
? s J - Jf'-/O - )4'/ S-
C-"ft -
BUILDER .
(Company Name) tZVjhc.-.l B(t)f'la,i
(Contu:tName) Te..rf'..1 )(u.L ~r
,
(Address) Lj to {,J M Lv '.J Jt.
N.{.,w B~; M:0
(Phone)
(Phone)
~-<..?o7l
9 )j- 75J - 412 <-
9fa. - '5&'1- S~7
lYPE OF WORK 0 :-.Jew Construction ODed.: OPorch ''lQRe-Roofing ORe~<;iding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Conne~
CODE: DI.R.C. DI.B.C.
Type of Constrodion: I
Occupancy Group: A B E
Division:
IT IllIVVAB
F HI MRSU
I 2 3 4 5
o Mise:
PROJECf COST/VALUE $ /0,000
(excluding land)
I hL"Cob}' n:rtify lhat I have furnished infunna . on on this appocarion ...'!rid, is to tho re.'t of my lmo....kdge hue and corr",:t. [a1<o l'orti/Y that I am the o....ner or authorized agent for tho
.wlJVO-monDonL-d pmporty ~'t1 mIlS 'lion" ill ronform to an exi.'ting stato and hX'illlaw. and will pnxeed m .......onlanl? ....ith ,;u!,mittl:d plans. [am a....an: lhat the building
"llinallan n:vo t for J""). . F '"';,,=__. I horeby agree lhat the lny olfuial or a deslglltt may ontt:r upon the property to y_;v.~ neodtd irnlpt<'tmns,
X '/Slgnature ~~o:~ct~r~2:~:-.Jo, cf-/t:teoJ-
Permit Valuation
Permit Fee $
Plan Check Fee j $
State Surcharge i $
Penalty i $
Plumbing Permit Fee i $
Mechanical Permit Fee i $
Sewer & Water Permit Fee i $
Gas Fireplace Permit Fee i $
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 Bnilding r .. ...".. Wkn Appron'
Paid 7v _ VU
Date 8- z,.()~ tJ8
Building OUi"ial
Dak
# $
# $
1$
'$
1
# i $
# ' $
I
1$
'$
.1
(l j$ 7(,.01
I ~~~tNo, 915"6:$
IBJ/o
'This is to rertiJY that the n:qw:sr in tho above appliration and ....companying drn.llmtnls j,; in aL'mrdanl'e ....ith the City Zoning Ordinanre and may procttd as n:qllt:sted. This dOLUmtm
....hen .igned by the City P~Ul.Dt:r ron.<titutes a tempor.uy Cl:flifu:ate of Zoning mmpliant:e ;lfid allows mru.1rUl'lion to r~_.~re, More Ol'LUpanl'Y. a Ct:rtiflf:ate of Ol'l'Up'Ull'Y mu,'t bo
i.~"Ued.
Phmrung Drr"otor
Datt Spel;ial ConditiOns, If any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372