HomeMy WebLinkAboutBLDG 08-0838
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRES1 tdl8 LIJ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
,9-INSULA TION
~INAL
o SITE INSPECTION
COMMENTS:
DATE
SCHEDULED 10.1,-f. (/1
C? ~~~/h
d ~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
e;{CH FINAL
.
TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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/~RK SA~I~FA~T~RY. PROC:ED
, 0 CORRECT ACTION AND PROCEED
o CORRECT.wOM. CALL FOR REINSPECTION BEFORE COVERING
Inspector: V J Y / Owner/Contr:
CALL ~7-9.1g('OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'~
i()/,t,; (\
I' , ()
1 White
Pink
Yellow
File
City
Applicant
(Please type or print and si.e;n at bottom)
ADDRESS
/ eft 6 ~ . '5lt q,....L,. &...~ t;.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) ~~
PERMIT NO.
~. JI] r
ZONING (office use)
PID
(Address) 1-1 , YIt
~ hJ L.
J
~ ~ J.... -,;. \ .
(Phone) ~t2... 3d 0
"..19 <j
BUILDER /
(Company Name) f-.Je".,..,.~ L__~w.-_-I.__
,
(Contact Name) S .'-_ Ki~
(Address) 97'0 ~ ,,,,-J A.J.c..- 51-. P~J
(Phone) t..~, Zo1 3, ~o
(Phone)
$'>1' .,
~~
TYPE OF WORK 0 New Construction ODeck OPorch \ iIi'J-RoOfing
OAdditlOn OAlteration o Utility conn~-
o Mise.
ORe-Siding OLower Level Finish
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
IV
I
3
V
M
4
A
R
5
B
S
I
E
II
F
I
III
H
2
o Fireplace
U
PROJECT COST/VALUE $
(excluding land)
~ trIP
.
A
B
I hereby certilY that I have furmshed mfl)rmation on this application which IS to the best of my knowledge true and correct. I also certllY that I am the owner or autho!lzed agent for the
above-mentIoned propc } ,.., that all construction WIll conform to all existmg state and local laws and will proceed in accordance with submItted plans. I am aware that the buildmg
offici 'voke thl per r Just cause Furthermore, I hereby agree that the City official or a designee may enter upon the property to perlorm needed mspectIons
x
LIJ ~""7V, ~
Contractor's License No.
Signature
Permit Valuation
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Water Meter Size 5/3"; 1";
Pressure Reducer
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
')' ~ /
{O,t' ..-OS
Paid
Date
Buildlllg Ofticial
Dale
JDjpjps
, Date
# $
# $
$
$
# $
# I $
I $
()i $ -7/
$/U/
RUt No, ~91r
BW-
G
ThIS IS to certllY that the request m the above applicatIon and accompanymg documents is m accordance With the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
isslIed
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