HomeMy WebLinkAboutBuilding 08-0588
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
5fl/fj
0lkJ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
) GAS~I~ AIR TST
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V. ~ .., ~
~ WORK SATISFACTORY, PROCEED
o CORRUf[C C AND PROCEED
o CORR T W R ,CALL FOR REINSPECTION BEFORE COVERING
Inspecto :1) Owner/Contr:
CA 144~j8J6 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO;E ~REMENTS 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
f. //01
I White
Pink
Yellow
File
City
Applicant
(Please type or print and sij1;n at bottom)
ADDRESS
5.s- tj- gOLfe- r Iv (.1 i' C / /.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PERMIT NO. (Jf'. 1J588
ZONING (office use)
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER -- /"
(Company Name) L::lk~Iq/'-",-c r1 LL/,'1S'T
~ '/,
(Contact Name) ,) /mC..//1 /z/'l/1"<:/.'-
(Address) ? 1tl PfA(!lA.t"/'.t.'( t1z:--c:....
(Phone)
(Phone) (6S'I') ;2C//-31..fc;J
OLower Level Finish 0 Fireplace
TYPE OF WORK 0 New Construction ODeck OPorch
DAddition OAlteration OUtility Con
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
F
1
III
H
2
IV V
I M
3 4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certity that I have furnIshed InformatIOn 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
above.mentlllned property and that all construction WIll conform to all eXIsting state and local laws and will proceed In accordance with submItted plans. I am aware that the buildIng
offIcial can revoke thIS permIt for Just cause Furth~er~ agree that the CIty official or a designee may enter upon the property to perform needed Inspections
X ' /.7 /;:,7:: . .~~;::~=- . ,~~~<3'
Signature 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
$
$
$
$
$
$
$
$
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
This Application Becomes Your Building Permit When Approved
Paid
Date
_/
l"e ./
8.ALC/K
l3uildlllg. Ollicial
Date
# $
# $
$
$
# $
# $
$
$
_I"
$ I~
R~tNO ~ S 1f'7f
B ./. 'I
r
- - ---
ThIS IS to certIfy that the request In the above application and accompanYIng documents IS In accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a tcmporary Certificate of Zonrng Cllmpliance 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