HomeMy WebLinkAboutBuilding 08-0454
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
:DSD 5(//1.;'<.-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
D~
DATE TIME
7-1'{~
1r-
fS' 4 r'-(
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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/ / /.
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~RK'7LL FOR REINSPECTION BEFORE COVERING
Inspector: r/i1/ Owner/Contr:
.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTI
CITY OF PRIOR LAKE RUILDINC PI!:IlMIT, Bate liec'J
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I
AND UTILITY CONNECTION PERMIT 7 S / ~
] White
Pink
Yellow
File
City
Applicant
PERMIT NO. 6Y- 0'-15'1
(Please type or print and sil!:n at bottom)
ADDRESS
ZONING (office use)
3"5So
< Y'Tvt:"'E'
C;'rr'/ P
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~./JK ~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) -5 .lCv~,
~.,
(/
/lTrn~:...
ZC'~t!~*-
~
(Phone) ~~ --1!.:2A" /6'0'''':<
L~.1c z-
(Address) '??.> c
J./?/~Cc
C>',c.:/c
>' /0 '7
BUILDER
(Company Name) ~~5'/? J /?
(Contact Name) #"7 "'-/c C
(Address) 77vo /'3JA
[7(?~ ~
:.J.?/(Y N'7" (Phone) ~?6) -.5~-c-:"fP'Y
(Phone) 7&? - 59/- c-::_? C'?,V
.,-;1 .c... vt'~";7 ~ v/ // /1/2 /.J .J .J 7' ~ /
/. ,,/
~Y"?' A..---..
TYPE OF WORK 0 New Construction ODeck OPorch $aE.e.Roofing ORe.Siding OLower Level FinIsh 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: ~.R.C. DI.B.c.
Type of ~struction:
Occupancy Group: A B
Division:
o Misc.
I II III IV
EG~ ~
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$ -..e;; 7/J 0
I hereby certify that I have furmshed mfnrmatlOll on this application which 15 to the best of my knowledge trut' and correct. I also certify that I am the owner or illlt!lonzed agent for the
,lhllvl'-rncntlOl1cd property and that ,Ill construction will conform to all existing state and local laws and will proceed in accordance with submlttcd plans_ I am aware that the building
otflcial can revoke tlm permit lor Just cause Furthermore, I hereby agree that the City official or a deSIgnee may enter upon the propel1y to pert(Jrm needed mspectHll1S
X Pry,t:'1 1/.- P9-'7? ,?k~r ::..70/ Srr:~ b b 0'/- t:>:1 -c6
Signature t:/ Contractor's License No. Date
,
Permit Valuation Y2~4(). OD
Permit Fee $ I 7'1r 75""
Plan Check Fee $
State Surcharge $ /,2.-5
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
#
#
$
$
$
$
$
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
$
Huildlt1g Ut'liclal
?/r/o8
. DIlle
Paid 76.00
Date 1..fPtfoi"
$
$
$ 7b..OO
Receipt No, 5" '3'/5
By rt\-.
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~
ThIS IS to certify that the fequest 111 the above applicatInI1 and accompanYIng documents is In accordance with the City Zoning Ordinance and may procecd as requested ThiS document
when signed by the City Planner constItutes J temporary Certificate of Zomng (ompltancc and allows constructIon to commence, Bcfufe occupancy, a Certificate of Occupancy must be
IsslIed
Planning Director
Date
24 hOllr notice for all inspections (952) .t.t7.9R511, fax (952) .t.t7-.t2.t5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any