HomeMy WebLinkAboutBLDG 08-0796
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 552;3
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ro/~(~
=hur\~ ~~
J
CONTR.
PERMIT NO.
g - 77(,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR5eTW.ORK, CALL FOR REINSPECTION BEFORE COVERING
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
'1 30, vcf
,.
I Whi'e
2, Pink
J Yellow
File
City
Applicanl
l PERMIT NO. 0 f; . (; ~
(Please type or print and s~t bottom)
ADDRESS
066-;
.~
~IV ltHNVl
S, ~l(Y 1.' \
Pi i u)i.- l t l t-t
I ,
ZONING (office use)
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER \
(Name) "V\.tiA
(Address)
PID
, Ii.j r-
H-tVl\
(Phone)
BUH.m1\. CUV\fY1\.C.N~ I
(Company Name) C, p v ; v"I ;.f v EXit: v I u V<-." l L l
(Contact Name) ~ 6 (\ 5.;. \ V 0 Illq\' ttl1
(Address) PO f:,()^ l;,(;~ P'Yl(;V Lv\.t.-r
(Phone) q <; 2- -"fL{ U I vI (,/ 7
(Phone)
,. TYPE OF WORK 0 New Construction ODeck OPorch ORe-Rooting ~e'Siding OLower Level Finish 0 Fireplace
OAddition OAlreration OUtility Connection 0 Misc.
. CODE: OI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
PROJECT COST/VALUE S /2-. 1 [) O. V 0
(excluding land)
II
F
1
ill IV V A
HIM R
2 3 4 5
B
S U
I I hereby cenify thaI I have furnished information on Ihis application which is to the bcst of my knowledge true and correct. I also certify that 1 am the Owner or authorized agent for Ihe I
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware Ihat rhe building
~ =~M ~u;;;:= Fj=' ,- -.. .'~o";. ~ 10; ~:~s;:;: ., ern,..,,, -~ 04~3o":ve
s..J:tx M1 C"""""'e. u""" No. Du,'
I Permit ~aluation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
I
'$
I
'$
I
, $
I
is
'S
I
, S
I
'$
I
'$
I
Park Support Fee
SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
# I $
# IS
I
i$
I $
# 1$
I
# I $
I $
I $
~ 1$
I
I Re iPt No.
i By ~
,
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J
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TOTAL DUE
..... ,
-j(Q
~O
This Application Becomes Your Building Permit When Approved
Building Otlicial
I Paid
, Date
-;f.t2 - /
. 4/ '?-'lv~y
[I' "
I
J
Date
o
. TIllS is to cenify that the request in the alxiVe application and accompanying documents is in accordance with [he City Zoning Ordinance and may proceed as requt'sted. 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 ror al/ inspections (952) 447-9850, rax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372