HomeMy WebLinkAboutBLDG 08-0846
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
DATE
tll/2oft?,
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TIME
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PHONE NO.
CONTR.
PERMIT No.8 - ~4L
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Jl!( FINAL
/0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
fL 0 PLUMBING FINAL
o MECH FINAL
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IV
COMMENTS:
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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KWORK SATISFACTORY. PROCEED
./ - - .
o CORRECT ACTION AND PROCEED
o CO~R ;J '?lRK. CALL FOR REINSPECTION BEFORE COVERING
Inspe liS Owner/Contr:
r. V4-.7_9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO'a? _ 94(,
(Please type or print and si!1;n at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) {5f'1'4A (YJ,'rJ,',/LSo/l
Date Rec' d
ZONING (office use)
PID
(Phone (7.>:?) Ljtj f, - C' 1;).b
S5-J7L
(Address) '1'11'1 (Cf4<./'M-../I. L",
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BUILDER
(Company Name) ~~r1Y
(Contact Name) V4~
(Address) '-16';-') ~LA..)' J
(/c.. /- S.;/c/f-io"l J
(Phone) {S 1
(Phone) "5-1
l)\I 2-2_
,..1. .L ,Ie .J.o.l-
E4"~/1
/J'7/1
f 7'-/ - ,}odo
2..3u -770Y
TYPE OF WORK 0 New Construction ODeck OPorch ~oofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition OAlteration DUtility Connection
CODE: ~R.C. OLB.C. o Misc.
Type of Constmction: I II III IV V A B PROJECT COST IV AI..UE $ 7eeS/.
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certity that I have hlrnlshed mflJrmation 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 and that all construction will conform to all eXlStmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
official can revoke this permIt for Jf1ause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the proper1y to perform needed mspectIons
; I ~/1-'?h~~/d- ~()Y9j/S;Y /o-Io-O/}
~ . Si(rlature Contractor's License No. Date
r
Permit Valuation --z.~, -
Permit Fee $ l4- .'1~
Plan Check Fee $
State Surcharge $ ,~ z,-)
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOT AI.. DUE
Paid
Date
7~- .
iol,? / 0;,
, I
#
#
$
$
$
$
$
$
$
$
$
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#
#
Receipt No. S0117
By te.I) p,.
ThiS IS to certIfY that the request m the above applIcatIon and accompanymg documents IS in accordance with the City Zoning Ordinance and may proceed as requested TillS document
when signed by the CIty Planner conS':ltutes a temporary Certiticate of Zonmg compliance and allows CllnstructIon 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