HomeMy WebLinkAboutBLDG 08-0788
DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS )t....~65 Ly CJl~
OWNER CONTR.
PHONE NO. PERMIT NO. 8-'l2>S
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
(Z 0 PLUMBING FINAL
o MECH FINAL
f ()I)C
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~INAL
~SITE INSPECTION
1" lA ('.1
\.2 \t1~ rI-t/t{ - ~ l \-i
()/ -~
Ir~
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~EORKI CALL FOR REINSPECTION BEFORE COVERING
Inspector I d Owner/Contr: .
, 1'/
~ALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INS/'IOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 d-f~ 61
I White
Pink
Yellow
File
City
Applicant
,..-ftlcase lf1le.Q.r print and. siltn at bottom)
~ ADDRES~
~ 7' g 6 3 L y 0-'\ j
1~~.
~ {;..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
~~~.f-,~~J"^~ e'Kr
~Lomact l\ia~ I .e:..rr?,
~dres~ {-:::> 0 ;~'j>C n n~
!
PERMIT NO.O f. () 7yg
I
ZONING (office use)
PID
r:: ") ~/4--
\ (Phoney ..,
----
(Phone)
~( ')~
.. --
TYPE OF WORK 0 New Construction ODeck OPorch. ~ .e e--RRcoofing
o AddlltlOn o Alteration OUtility COn~tIOl~.,
o Misc.
ORe-Siding OLower Level Finish
o Fireplace
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
B
S
V
M
4
A
R
5
III
H
2
IV
I
3
I
E
II
F
I
u
PROJECT COST IV ALUE $
(excluding land)
A
B
I hereby certiIy that I have hlrmshed mIilImatlon on this applicatlOn which IS to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent Iill the
above-mentlOned property and that ail construction will conform to all existing state and local laws and will proceed In accordance with submitted plans I am aware that the building
otIicial can revoke this permit for Just cause Furthcrmore, I hereby agree that the City official or a deSignee may enter upon the property to perform needed mspectlons
X ~/ ~ 2.0V7lQ Pf/"Z-yYl2..
<./ ~ ~It) ~tract~ ~Date ~)
Park Support Fee
SAC
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
L Date
1((/-- ~
q ;;;AY_ (/
f - ,
Buildl\1g. Otlicial
Date
# $
# $
$
$
# $
# $
$
$
--/
/l $ /ra
/ J ~b7 4-r
Re~ipt No.
By" I
>-
?
ThiS IS to certify 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 CertlIicate of Occupancy must be
isslled
Planning DJlrector
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