HomeMy WebLinkAboutBuilding 08-0431
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
7 -lye))'
ADDRESS
~ 3'-1 (0 5 (? /7/l:-<- fr
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
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COMMENTS:
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o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~RK,#L FOR REINSPECTION BEFORE COVERING
Inspector: VW Owner/Contr:
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
3 Yellow
File
City
Applicant
PERMIT NO.of. () ~3 /
(Please type or print and sil!:n at bottom)
ADDRESS
3~/C' --5 ~!.L;O /~/ 5'" \/7./
I -
,f))'/@ J d/F /Lav')~</2
LEGAL DESCRIPTION (otlice use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER .--_
(Company Name)VVL5/1v)'ALj2rYJ/J///f--f _"S-/O//I/Z
(Contact Name) ,~I/ / E
(Address) 9700 /.-3 /~ft Al/ /1/ rJ/yfi,/CL1/1 L/,{
l . A
Date Rec' d
1 z,oi
ZONING (office use)
(Phone) DO?_ <--5--'/.. ("-:?C-' 7'
(Phone)
h t:; r;; c; I
III I hereby certify that I have turmshcd mformatlOn un this application which IS to the best of my knowledge true and correct. I alsu certify that I am the owner ur authOrIzed agent tor the
Jbove-mentlllned property and that all construction wdl conform to all eXistIng state and local laws and will proceed In accordance with submltte(j plans I am aware that the buddIng
i ;i(~";: tl~t f(}l~;;~.n--;~;bY agree that the CIty official m a designee may enter upon the prOpeJ1y to pert()fm 1~.:.3~_S/
/"I Signature Contractor's License No_ / Date
I Permit Valuation
I Permi! Fee
I Plan Check Fee
I State Surcharge
TYPE OF WORK 0 New Construction ODeck OPorch ~~-Roofing
OAdditlOn OAlteration OUtility connrl~
CODE: OLR.C. OLB.C. 0 Mise
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F HIM R S V
Division: I 2 3 4 5
ORe-Siding OLower Level Finish
PROJECT COST/VALVE $
(excluding land)
Park Support Fee
#
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
$
$
$
$
$
TOTAL DVE
SAC
#
Water Meter
Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Sewer & Water Permit Fee
Builder's Deposit
Other
o Fireplace
$
$
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
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14ceiPt No, :::>& o9rf---'
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Gas Fireplace Permit Fee
Paid
Date
Buildltlg Ufticlal
Dale
ThiS IS to certify that thc requcst In the above applicatIOn and aCCllmpanYll1g documents is 111 accmdance wIth the City Zoning Ordinance and nMY p",cecd as requcsted TIllS document
when signed hy the City Planner cunstltutl'S a temporary Certificate uf Zonmg compliance and allows cunstruction to commence. Before occupancy, a Certificate of Occupancy must he
i~SlJ(..'d
Planning Director
Date
24 hour notire for all inspertions (952) 447-9!l50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any