HomeMy WebLinkAboutBuilding 08-0573
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
8;;J~
TIME
ADDRESS . LJ ('\(Q
~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C8-65?3
o FOOTING
o FOUNDATION
o FRAMING
o INSULA})I~N r
;tl.FINAL ~~
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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IU" IW fA./" 1 IN>
~
~ORK SATISFACTORY, PROCEED
/0 CORRECT ~ON AND PROCEED
o CORRECT;WO~..sALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL ~'T=!8"50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE~EQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERHr.lCATE OF ZONING COMPLIANCE. .
AND lJ lu..ITY CONNECTION PERMIT
31t.P83
Date Rec' d
I. White Fil.
2. Pink City
) Yellow App1ico..
I PERMIT NO. 08.05"731
(Pleue tTK or orint and sip at bottom)
ADDRESS I 1\ {
L .1 q (p CoacffivraVl 1--11.\ '\1 e
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
PID
ADDITION
ZONING (oI'fice_l
OWNER c;)/i I. f1
(Name)~
'2u.z&h I VL?YkL-f
, J
(Phone) q5:)- d;J/.R-34CJ;;2
. (Address)
BUll-DER -I::e j/ / If 1 .
(Company Name) ;' ., T71e:;)'a~rd L'Ul.u.z:n-t..LfU)/1
(Contact Name) '. t1f (/)
(Address) 5& ill /nempr /a/ .It. if. ..f /'lIwa.;h" ; m /I'
(phone) uGI'~~9. ~ 1~
(phone)
6-StJ 8' ~
, TYPE OF WORK D.New Cons~~.n DDedc OPorch fifRe.Roofing ORe.Siding OLower Level Finish
OAddition rteration OUtility Co~on 0 Misc.
. CODE: OI.R.C. OI.B.C. PR.OJECTCOST/VALUE S
TypeofConstnu:tion: I n m IVV A B (exc1uc1ingland)
Occupancy Group: A B E F HIM R. S U
Division: 1 2 3 4 5
o Fireplace
LP!oqfJ ( f}O
I hereby certify that I have furnished information on this application which is to the best of my knowled8e bUe and ........ J also certify that I am the owner Of authorized agent for the
above-mcnuoncd r' -r ....J and that all consbUction will conform to aU existina sta~ and localiaws and will rn.nJ in acc:ordancc with submitted plans. I am awan: that the building
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'~gnaturi Contractor's License No. ~ ale
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'$
$
$
$
$
$
$
$
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Ir~o' f(P.nJ
nllS is to certify that the request in the above application and ac:c:ompanying documents is in accordance with the City Zoning Ordinance and may proceed as requ~'SlCd. This document
when signed by the City Planner constitutes a temporary Ccrtiftcate of Zoning compliance and allows consbUction to commence, Before occupancy, a C~'ftirlCltc of Occupancy must be
issued
I Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
S
$
$
$
S
S
S
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
Pressure Reducer
#
#
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
This Application Becomes Your BuRdlnl Permit When Apprond
I Paid
I Date
.....,~--- /
{ . .
fr- '1.CI Y
Buildinl!. Official
Date
PlaDDinI n:......
Date Special CoaditiOlll, if any
24 hour notice for all Inspections (~2) 447.98~. fax (~2) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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