HomeMy WebLinkAboutBLDG 08-0791
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS lS3C1,lQ
0c;4, ,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
c:l/NSULA TION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
/) 0 MECH FINAL
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COMMENTS:
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DATE TIME
/0/1-1 foe
G.. (il.
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
iJ, ~~ 1k~1
~
,)2"'WORK SAT!SFACTORY. PROCEED
o CORRE~TION AND PROCEED
o CORn€CT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspectpr: J II I Owner/Contr:
CALJ~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
Date R@c'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siRn at bottom)
ADDRESS nn
J S34b ff~ {bi;J ~.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
~\ ,CV->xt,A
J53% r~ ~;'~ RQ
BUILDER 12" V . {~
(Company Name) ~ V\ tx:d-'^9
(Contact Name~A~'\/\ 6~j
(Address) LJr: ~~.<\;1k a;
. l I (
TYPE OF WORK D New Constru;:;ion DDeck DPorch )qRe.RoOfing
~ OAdd~lOn OAlteration OUtility Connection
CO E D. 0 Mise.
D: I.R.C. I.B.L.
Type 0 stIUction: I II III IV V A B
Occupancy roup: A B E F HIM R S U
Division: I 2 3 4 5
OWNER
(Name)
(Address)
ADDITION
White
Pink
Yellow
File
City
Applicant
PERMIT NO. () g -c) 79/
ZONING (office use)
PID
(Phone) ~<...)7:Y- [giJ
ORe-Siding
(Phone) qCV-~'-fD-ci3b 7
d)- l (Phone) G7-<{('L G.. ~S
t::X.bva. AM) 55 L/ JIs-&~
DLower Level FiOlsh
D Fireplace
PROJECT COST /V ALUE
(excluding land)
$ JJ,tLV1CO
I hereby certifY that I have hlrmshed:nformation on this applicatIOn which is to the best of my knowledge true and correct. I also certIfY that I am the owner or authol\zed agent for the
above-mentIoned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submItted plans I am aware that the build 109
~rlcial can revoke ~t 1~~~~herebY agree that the CIty official ZC25737 Zon the property to perform nec/~1tll<(
Signature Contractor's License No. Ib~e
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
2~r-1
74.7c.) I
I
( _ 7--) I
~ I
I
I
I
I
./ 8uilJII1~ Official
C
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
70r
0/--'1 //'1 ~
lItr{ v
# $
# $
$
$
# $
# $
$
$
$ r&, -
Receipt No. 5f::,fj-/7
By 1 /'~
ThIS IS to certIfy that the request 10 the above appllcatlon and accompanymg documents IS 10 accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constltutcs a temporary Certificate of ZOnIng compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
Issued
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