HomeMy WebLinkAboutBLDG 08-0823
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS . 47 tJ!3
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED I~
(\~
CONTR.
PERMIT NO.
~m.3
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
/) 0 MECH FINAL
Ik rooL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ORK SATISFACTORY, PROCEED
o CORRE AC ION AND PROCEED
o COR CT WO CALL FOR REINSPECTION BEFORE COVERING
Inspec"or: II I I Owner/Contr: .
C./>.LL --;J{~o 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
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO. Og, 082.--3 I
(Please type or print and si~n at bottom)
ADDRESS
4;AO)( 0j'ullnu+~ In. ~IL>
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address) ~<t
~\ ~l'tL\.L\S{')f\
C~~l\LLt-J U\ l\~
- ~
Date Rec' d
i 6. 7,0!
ZONING (office use)
(Phone) l\5a'L\l.tO. "39DI
i BUILDER ~n (, .....,~ ,... '^ r Q(";...I\ 1 ( qSQ
(COmpanYName)~r :r:--:j\ \.....UfUY. ~ 'L. (Phone) ~)O\. D"',\- Jl \
(Contact Name) YJJX)..e.5SO- (Phone) ~'IO" . loG.59
(Address)c:;{'1.\Ji) ~i~la11<Ll. ~ ~ \DC) 2:ilX 1\O\') 'l \ \ l, \ ~ ~ -' 55~ ~ 1
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
DAddltIon DAlteration o Utility ConnectIon
CODE: OLR.C. OLB.C.
Type of Constmction:
Occupancy Group: A B
Division:
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)
$ <\~D') -
I
x
I hereby certify that I have hlrnished mformation on this applicatIOn which is to the best of my knowledge true and correct. I also certify that I am the owner or iluthof!zed agent for the
<lbnvc-rncntlOocd property and that ,Ill Clmstruction will conform to all eXIstmg state and local laws and will proceed in accordance with submitted plans I am aware that the bUlldmg
"fIiCla an revoke tillS permit te)! Just cause Furthermore. I hereby agree that the CIty official or a deSignee may enter upon the propel1y to pert(lrm needed lI1SpectHlI1S
c;2J ')/ wt13 V 10 . '7 -OJ''
Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechalllcal 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
TOTAL DUE
This Application Becomes Your Building Permit When Approved
.;I'
~1'rI -- /
10.'1,' V
r!
i teceiPt No.
I f,;<
Paid
Date
lluddl11g Uftielal
t
Date
Date
$
$
$
$
$
$
$
I $
I
1$'"1&
~,909
/
ThiS IS to certIfy that the request 111 the abllVl' applicatiOn and accompanYll1g documents IS 111 accurdance with the City Zoning Ordinance and may proceed as requested ThIS dlKument
when signed hy the City Planner consl1tutes a tcmporary Ccrtificate of Zunmg compliancc and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
isslled
Planning Director
Date
24 hour notice for all inspections (952) ....7-985n. fax (952) ....7-..2..5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any