HomeMy WebLinkAboutBuilding 08-0572
DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS , SIl \ A.Do.1 ooS~ 17/
OWNER CONTR.
PHONE NO. PERMIT NO. ~ -S72
......
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULA~~ o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INS CT o MECH FINAL 0
COMMENTS:
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,J. WORK SATISFACTORY. PROCEED
9- CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
R-/le~OO
dlf~BO
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERut4.lCATE OF WNING COMPLIANCE..
AND lJ .l.l.l..ITY CONNECTION PERMIT
I. White Fill
2. Pink City
) Yellow Applico..
(Please tY1IC or print ad sim at r. ".1'",)
ADDRESS oJ - ~ ()
15/1/ lirW; {)oSa Irci<-x NG
LOT
LEGAL DESCRu :uON (office use only)
BLOCK ADDITION
I PERMIT NO. 08, os7 2-1
ZONING (oftice use)
PID
OWNER
(Name)
ThvJI1 ':&vK
(Phone) 95.;;;-Lf-Ll1-1.fJL/ I B
, (Address)
BUILDER . J.// ;1',
(Company NameLltI"" (l il7 ~(:t. r/ {-'~rU-L6..tLLJ
(Contact Name) /"11 (/J
(Address)6~t.// memor/a..! ,A. /1 flr/JuJtthJ-, 117.#
(phone) LtGI'~~9..y: 3X)
(phone)
:5-S() 8' ~
TYPE OF WORK D.New Construction DDeck OPon:h )gRe.Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition ~teration OUtility Connection 0 Misc. ) L i
. CODE: OI.R.C. OI.B.C. PB.OJECTCOST/VALUE S ::flofb()
Type of CODStmCtion: I n m IV V A B (excluding land)
Occupancy Group: A B E F HIM B. S U
Di'Yision: 1 2 3 4 5
I hereby certify that I have furnished information on this applkatlon which is to the best of my knowledge true and comet, I also certify that I am the owner or authoriZl.'Ii agc:nt for the
above.menboned ,.,. .... and that aU construction will conform to all existina stale and local laws and will ,.....J in accordance with submitted plans, I am awale that the building
;1'711':"' ''''~M1'._...I_-''''''''';:;~;:;S"'';r''''''''.'~-~~fJ
SignatuIe Contractor's License No. I Ie
I)
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Pennit Fee
I Gas Fireplace Permit Fee
S
$
$
S
$
$
S
S
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application B .. . .... . .s Your Buildinl Permit When A,., .. ed
I Paid
I Date
/1/
ICl-
(I - I tI.(
~ . -,. '
Buildinl! Official
Dale
# S
# $
$
S
# S
# $
S
S
,tS)
I / ,)1.5 L..i-
ReceiPt )(0.
Bv .1,. ---,
G
TIlls is to certify thalthc request in the above application and a...v_.....nying documents is in accordance with the City Zoning Ordinance and may ,.....1 as reqUl'SlCd. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before IlCCUpancy, a Cl'rtiflCatc of OcCllpancy must be
issued
Plamling 1::.. ....
Date Spec:iaI COIIditions, if any
24 hour notice for anlnspectionl (~2) 447.98~. fax (m) 447-424S
16200 Eagle Creek Avenue Prior Lake, MN 55372
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