HomeMy WebLinkAboutBLDG 08-0583
DATE TIME
CITY OF PRIOR LAKE /~
INSPECTION NOTICE SCHEDULED
ADDRESS IG~S F;rJ ~
OWNER CONTR.
PHONE NO. PERMIT NO. B-~~
o FOOT/NG o PLUMBING RI o EXIGRAD/FILLING
o FOUNDA T/ON o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECT/ON o MECH FINAL 0
COMMENTS:
f .-
-\ ~ ( 1
-(~L~~ ' '. +_(p
-
JJ" Q Ifr~ _ ~(,j/
~K SATISFACTORY, PROCEED
./~
o CORRECT NO PROCEED
o CORRECT CALL FOR REINSPECT/ON BEFORE COVERING
Inspector: 't Owner/Contr:
, .
CAll '47;~ THE NEXT INSPECnON 2' HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
LNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
8.7.06
White
Pink
Yellow
File
City
Applicant
PERMIT NO'08. Z} 583 I
(Please type or print and siJ~n at bottom)
ADDRESS
/F;2_S-S- f-oR.ESJ- L"Jf<. eLF
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER 1
(Name) I" 11 r2- V i II\!
G /u/) l::-IC J
(Phone)
1L;)_~L/ Y (7 . 32J/?
(Address)
BUILDER
(Company Name),
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ~Re.Roofing ORe.Siding OLower Level Finish 0 Fireplace
OAdditIon OAlteration OUtility Con~n
CODE: DI.R.C. DI.B.c.
Type of Construction:
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 /V ALUE $
(excluding land)
I hereby certifY that I have hlrmshed mformation on this application which IS to the best of my knowledge true and COlTect. I also certifY that I am the owner or authOrIzed agent fllr the
above.mentlOned ptOpelty and that all COFu tlOn Will conform to all eXlstmg state and local laws and WIll plOceed m accordance With submitted plans I am aware that the blllldmg
:ficla~ can revo _te: petmlt for u ,-~a~.~;~"gree that the CIty offiCIal or a deSIgnee may enter upon the propetty to pet form needed lIfc~on7 - G ?
/ SIgnature Contractor's LICense No Date
I
I Permit Valuation
I
I
I
I
I
I
I
I
Plumbing Permit Fee
Water Tower Fee
#
$
$
$
$
$
$
$
$
() $ 'l~ .~tJ
RUPt No, .2/,5'.76
1r
Park Support Fee
#
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
SAC
#
Permit Fee
Plan Check Fee
Water Meter
Size 5/8"; I";
State Surcharge
Penalty
Pressure Reducer
Sewer/Water Connection Fee
#
Sewer & Water Permit Fee
Builder's Deposit
Other
Mechanical Permit Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
7('.C/V
~, .., "dB
Building Official
Date
ThIS IS to certifY that the request m the above applicatIon and accompanying documents IS m accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner CllnSlltutes a temporary Certificate of Zomng Cllmpliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
isslIed
Planning Direclor
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