HomeMy WebLinkAboutBuilding 08-0562
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS . 55~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
9IINSU~ON \- _
7S- ~INAL r 0() Y
o SITE I P CTION
COMMENTS:
,
('/ ACJ
"'-',
DATE TIME
SCHEDULED 8/ ~ ( J or;.,
, v
Over bk tx-.
CONTR.
PERMIT NO.
8- S~2
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
, GAS LINE AIR TST
iJ). ~'l.,
'Tnt \ ...........
11)1\ fvj r1, ~
Ji' WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREfWRK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ,U h Owner/Contr: .
CALJ ~7-9J50 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 COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
7.Sf,df
I White
Pink
Yellow
File
City
Applicant
(Please type or print and si~n at bottom)
ADDRESS
~'S"~
Ovu'- I~()~' C,.f'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
I PERMIT NO'Or~ 0 9.P-z-,-
ZONING (office use)
PID
(Address)
BUILDER_
(Company Name) 6i/~n1r~e.n &,/IS1.
(Contact Name) Sifl'l(): er~"..,~"
(Phone) (4:,~;) ;J..dq.- ~/3o
(Phone)
(Address)
Q70 (?lM.(M()(1d ~~
/
TYPE OF WORK 0 New Construction ODeck OPorch )[iRe-Roofmg ORe-Siding OLower Level Finish 0 Fireplace
OAdditlOn o Alteration OUtility Com/ctl6n
CODE: OI.R.C. OI.B.C.
Type of Constnlction:
Occupancy Group: A B
Division:
o Misc.
B
S
A
R
5
IV V
I M
3 4
III
H
2
II
F
I
U
PROJECT COST /V ALUE
(excluding land)
I
E
$
-
I hereby certify that I have hlrmshed mformatlOn on this application which IS to the best of my knowledge true and correct. I also certIfy that I am the owner or authorized agent for the
Jbove-mentloned property and that all constnletlon will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
official can revoke tlus permIt for Just e e Furthermore, I hereby agree that the City official ot a designee may enter upon the property to perform needed mspectlons
~;;1"
.~_...? /'
x
Contractor's License No.
Signature
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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 Building Permit When Approved
Paid
Date
7(, )
7."fI,oC/
.
Buildl11g Official
Dalc
'7'hrA,~
Date
# $
# $
$
$
# $
# $
$
$
Rc f~,:
~ fpt .
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$i, ~-i rJ;J
ThIS IS to certify that the request m the above applicatlon and aceompanymg documents IS m accordance WIth the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the CIty Planner eonstltutes a temporary CertifIcate of Zonmg compliance and allows eonstructlon 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