HomeMy WebLinkAboutBuilding 08-0552
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
eJ11(ofJ
ADDRESS . 5'd'1 '\.
\ '\0 ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
8 - t:.:)') :?
o FOOTING
o FOUNDATION
o FRAMING
o INSULA~
~INAL
o SITE INSPECTI .
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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'-- \ c,..c;. ~ -/ \"f'Y \
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A i,,, I~F it; ~
f """",". /'
?--WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSHOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White File I PERMIT NO
Pink City .C' C.) _L C 2-
Yellow Applicant . (~.~ j)
(Please tvDe or udnt- and si~ at bottom)
, ADDRESS
56;1 79 /~)A 3J-. ~E
. ZONING (office use)
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
Pill
;;--~ /if fVs Re- /'+-
5 d 7 7 /L/c:J/-~ S)
OWNER
(Name)
(Address)
(phone)
,~-
BUILDER ~- _ d,
(Company Name) ~.
(Contact Name) . -c:' /7
(Address) ~/~)D C--/cP/J/~~te g Ivd
C}s;< .-~5~ -cd 0~)-
(Phone) ~/dJ -~ ,;)- 5~ 80 V~
(Phone)qS-;J -7>5- - 7';;;-Jb
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofmg ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtiIity Connectio
CODE: ~R.C. OI.B.C. o Misc:
Type of Construction: I IT ill IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST/VALUE $ 5335.. e6d
(excluding land)
I hereby certifY 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-mentioned proper and that . on 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 rmit [, s/use. ur rmore, I hereby agree that the city official or a designee may enter ~ the property to perform needed i~spe~ns. _
X - /c>SO 7/d3/otF
Signature . Contractor's License No. Date-
1$
I
'$
I
'$
I
'$
I
'$
I
'$
I
, $
I
Gas Fireplace Permit Fee '"'-- i $
/~. I f I
This tlP~". .. om BWIdm,,''''"'' f""n fpp"",,,, -
h ( (ur 108
~mcial , . Date .
----~
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I
2. SDU. -
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
1 4- t (\
(, Z--C
I Paid
I Date
-~ ?~c;-/ Ob
# I $
# $
$
$
# $
# $
$
$
$ ((,
I Receipt No. ")0<;~
I By r;.,? I::i
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 temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372