HomeMy WebLinkAboutBuilding 08-0539
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J b-s':r 5' 0 ~ q
. C/
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA,l10N r-
~INAL U~~
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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DATE TIME
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7 J
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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y! WORK SATISFACTORY, PROCEED
o CORRE~TION AND PROCEED
o CORR~T VvORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector\~] ) 1 Owner/Contr:
CALlY'4I7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~EQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
IlVSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
-; 2-8.~ [;[)
I White
Pink
Yellow
File
City
Applicant
(Please type or print and si~ at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
I PERMIT NO. ()8~ {1::-)~'3 91
/
ZONING (office usc)
PlD
(Phone) ((,~/) J-o '1- ~11{)
(Phone)
BUILDER
(Company Name) {;1/.eA'1r~ C{;~<;t.
(Contact Name) PV'fc-c. e-t-i..,,,, (r,ftj 75'.5'- ~b-.rJ..
(Address) t"t'P r2~,..."~ f!,<...
\i
TYPE OF WORK 0 New Construction ODeck OPorch ~e-ROOfing
DAddition OAlteration OUtility conneron
CODE: DI.R.c. DI.B.c. 0 Mise.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
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"; 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
./
70,
/. z-Y-CI
/
J7
l3uildlllg Otlicial
Date
# $
# $
$
$
# $
# $
$
$
$
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R{iPt No.
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ThIS IS to cerllfy that the request in the above applicallon and accompanymg documents is 1Il accordance WIth the City ZonlIlg Ordinance and may pmceed as requested TIllS document
when signed by the Clly Planner constItutes a temporary Certificate of ZonlIlg compliance and allows construction to commence. Before occupancy, a CertIficate lIf 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