HomeMy WebLinkAboutBLDG 08-0837
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ()~
~,~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
1)( FINAL
/0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENT~: "
fv''l~Jl.
V-' - -V
_I f\ n.
(\16~-, ~".+\ ~
DATE
'12i~
TIME
08 ---~~t)
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
f)
f1U-
^ J Jl
J~ ~\ Hc",Mf(
"\' /
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORtfiECT ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspect r: IP Owner/Contr:
V
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
(Please type or print and siltn at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/Ol(d~dl
I White
Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 0 y. {j YJ> 7 I
5""'t z",
Q".",,--),..., 5/..
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
PID
OWNER
(Name)
ADDITION
A --r::4- J "c-
5'1 z..", {l"D ,,~J,.-
(Phone) (~)2,.) ""'0
(Address)
51.
BUILDER
(Company Name) Lvv..,,,,,,,,,,,, C!_.JhtA-J.""
.
(Contact Name) .5.'-._ I(,....-c.r
(Address) ."" z."........,} AoJ<I. :S'l~ ~ I rlJ
TYPE OF WORK 0 New Construction ODeck OPotch lhe-ROOfing
DAddltlon DAlteration DUtility conn~
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
ZONING (office use)
re S" 0
(Phone) ?>'I ZoQ' 3/'0
(Phone)
~I/o{
ORe-Siding OLower Level Finish 0 Fireplace
o Misc.
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$ ~,7-'O
I hereby certity that I have hlrmshed Inti)rmatlon 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 property a t t a..! constructIOn WIll conform to all eXIstIng state and local laws and will proceed in accordance with submllted plans. I am aware that the buildIng
:~<::hiS per ~ ~'e Fur::e, I hereby agree that the CIty offi:)r~:s;::: enter upon the propelty to perform nee~:~p~c;:e
./ . Signature Contractor's License No. · Date
/"
r Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
/l
I /
Rtftipt No., ZJ0 YI'..r-
H J J
/'
{;
Park Support Fee
#
$
$
$
$
$
$
$
$
SAC
#
Water Meter
Size 5/8"; 1",
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
~16
fO../tl. C
I
Buildlllg OffIcial
Date
$
$
$
$
$
$
$
$
$ .~ ft;
ThIS lS to certify that the request in the above applicatlOn and accompanymg documents is In accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the Clly Planner conltltutes a temporary Certificate of ZonIng compliance and allows construction to commence Before occupancy, a CertIticate of 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