HomeMy WebLinkAboutBuilding 08-0629
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~ ():\
M; II l-D-5
OWNER
CONTR.
(:)
PERMIT NO. (<'j- - ~ ')...,,1
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~INAL 0 PLUMBING FINAL
o SITE INSPECTIONO 0 MECH FINAL
COMMENTS: I--e ~
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DATE
8/Qc;/~
~
TIME
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
J'\ .
-UJJp ~('O N>
~ORK SATISFACTORY, PROCEED
o CORREC~7fIO AND PROCEED
o CORREJri '/10 , CALL FOR REINSPECTION BEFORE COVERING
Inspectcj:ll ") Owner/Contr:
---.
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMll,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DId\~ R~f ti
6-- (&, rJ~
1 White
Pink
Yellow
File
City
Applicant
PE~O.oe .o(P2-9
(Please type or print and siJ1;n at bottom)
ADDRESS
5103 Me (...-~ uet.L6 5r;;
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
(Phone)
BUILDER /'
(Company Name) / A4f..~ccW~ fu~. (-AJ]J1j2(te-r/NC,
(Contact Name) !<:v,t.--r dV~C~
l<,ve;Yt I<.tP~€ ~
(Address)
2-1 (,
PID
ZO~G (office use)
\
~
~
~
(Phone) 9';-2-- <.izt,- tf{<{ g'
(Phone)~/.z -7~t; ~/17
~WItA-lZ ~7~t1tR
TYPE OF WORK 0 New Construction ODeck OPorch 'ri~e'RoOfing ORe-Siding OLower Level Finish 0 Fireplace
DAddition o Alteration DUtility Conne~n
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
1
III
H
2
IV V
I M
3 4
o Misc.
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certifY that I have furnished mformatllln on this applicatIOn which IS to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
above-mentioned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revoke this permit for Just cause Furthermore, I hereby agree that the City official or a deSignee may enter upon the property to perform needed mspectlllns
X .ff~~~ g;;~/tJ~
/ Si ture Contractor's License No. Date
,
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ /
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
l3uildlll!! Otlkial
Date
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
y(, .() U
e. I ~- Ot!/
#
#
#
#
$
$
$
$
$
$
$
$
$
7~; , uL
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: ~eiPt No. 5{l5~3
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ThiS IS to certifY that the request in the above application and accompanymg documents IS m accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the CIty Planner constitutes a temporary Certificate of Zonmg 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