HomeMy WebLinkAboutBLDG 08-0708
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS l.t~()2 ~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
Ji-FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
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COMMENTS:
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PM~
DATE TIME
/p(Zt?/ t? ~,
I
8 -to fJ
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
1'1 .
J)~ f!-Mf fbr~
~ORK SAT!SFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
.-..
FOR REINSPECTION BEFORE COVERING
Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
v
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Date Rec' d
q( G; ct6
l.u i OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERuIlJ.CATE OF ZONING COMPLIANCE. .
AND l.J J. J.LITY CONNE\... I ION PERMIT
.......__............., ""...1 !
'ADDRESS'lJ/~ tJ"sll1ur Ldf'lf. Ale
I. While 1'"010 PERMIT NO
~.:-knw ~ico" · 0 8. 0 708
ZONING (office 1IR)
LEGAL DESCRu uON (office use only)
ADDITION
PID
LOT
BLOCK
.
WE/GeL
eA~.s-htJ LIi/A.L AlE'
9~-;)/ ~- '1?(,~
~/l.Gti
'I ~()-i
OWNER
(Name)
(phone)
(Address)
ekt't'fl~. 7NC.
1/ ()t;EIJ ~
BUlLuLA 1::' ._1
(Company Name) ~Lt r€
(Contact Name) <::TilSoN
(Address)e/)~ /64
(phone) ~-~'?-7J'()?
(phone) """Jt;S7-1./7IJ-S'a??
/
TYPE OF WORK. 0 New Construction DDedc Dporch ~""'Roofing DRe-SidiDg DLower Level Finish
OAddition DAlteration OUtility Co~"1n-- 0 Misc.
o Fireplace
f'S-~s- -
I
, CODE: OI.R.C. OI.B.C.
Type of Ccmstruction: I
Occupancy Group: A B E
Divisioa:
PROJECT COST/V ALUE $
(exdudin, land)
n WIVVAB
F HI MRSU
1 2 3 4 5
I badly catify thaI I haft furnished infOl1ll.ltioo 00 this application which is to the best al my knowled&e _ and..... _. I aIIo c:atil)< thaI I am the uwner or aulllorizcd agenl for the
above., ...,.".J.. '"r" '. and thaI aU coastructiQn will c:onfonn to aU cxistinc state and Jocallaws and will ,... ...J in accordanct:witb submitled plans. I am a~~ 'I the buildina
<: ~@~~.lbereby~~~ed~offlcWor~~?f~_" ..J topaformneedcdp/;;JI?
.. 'loC..~ture - ContractDr's ~ No. / Dire .
I Park Support Pee
I SAC
I WaterMeter Size S/8"; 1";
I Pressure Reducer
I SewerlWater Connection Pee
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
# $
# $
$
$
# S
# S
S
S
/"1 S '7 r.. c.;<)
/ /
I R~tNO. .sz" 7 f f)
Bv .
0
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
'IbiI AppUcation B , , .''', .1 Your BuildiaI Permit When A" ",., e'
s
S
$
$
$
$
$
S
/
I Paid 7(, -
I Date q r;-Clr
Date
BuildinlOfficial
TbII is 10 certify that the Rquc:sr in the above application aad a.. .... ...nyina documeDlS is in accontance with the City Zonina OTl1iDan~ and may.,. . .. ! as Rqucstcd, This document
wbm sipcd by the City Planner constirulCS a ,.".. JY Certificale ofZonina compliance and allows c:onstnIClioa 10 ."" ..:e. HefOlC lXCUpatlCY, a Catilicate alOcc:upucy must be
issued.
Date Special Coaditlons, if my
Z4 hour aolice for alllaspec:lion. (951) 447-98~. fax (951) 447-4Z45
16200 Eagle Creek Avenue Prior Lake. MN 55372
PlmDinI 1:'" .."