HomeMy WebLinkAboutBUILDING 08-0423
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
7-if~clo
ADDRESS
553D 5h~
r.-
f,-.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: rO~
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'~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~ FOR REINSPECTION BEFORE COVERING
Inspector: } /11 Owner/Contr:
v "
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date ~ec' J
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO.08 .04'23
(Please type or print and si~n at bottom)
ADDRESS
ZONING (office use)
t; ~ '3 0
S"Aore-
Ti'_
'Nb
LEGAL DESCRIPTION (offlce use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Phone)
(Address)
i BUILDER
(Company Name)
(Contact Name)
I (Address)
~ile (3 r~c...)'1 Co /1 J' Ir vC H J',
.Jt?.:.,' ()" /'JO;~ r r--- t.......
(Phone)
(Phone)
(b ,,") '+0 '?
:~ f- J(.'.
,/7()
t?~rn(.',~d l1ve
TYPE OF WORK 0 New Construction ODeck OPorch ~'ROOfing ORe-Siding OLower Level f'imsh 0 Fireplace
OAdditlon OAlteration OUtility conne~~
CODE: OLR.C. OLB.C. o Mise
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that 1 have turnIshed mflJrmation on this application which IS to the hest uf my knowledge true and correct I also certtfy that I am the owner llf iluthonzl'd agent for the
abl1vc,mentwned property and that all Cl1nstructlOn wIll confmm to all eXlstll1g state ami local laws and will proceed in accordance with submItted plans I am aware that the blllldll1g
official can rcvnkc tlus permit for Just calise Furthermorc, I hereby agree that the CIty official or a deSignee may enter upon the prnpcl1y to perform needed mspcctlons
----:-- --' ;a' . f)'- ___ --::-, /~-/~VJ'
X ____'.T/ C--_.. /" /.-'"
. Signature' Contractor's License No, Date
This Application Becomes Your Building Permit When Approved
Paid
Date
....... ,
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QK
# $
# $
$
$
# $
# $
$
$
I $ I~ -
~f'Pt No5&.Of'r
Gas Fireplace PermIt Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
Permit Valuation
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; 1",
State Surcharge
Penalty
Plumbing Permit Fee
Mechamcal Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
Sewer & Water Permit Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
lllllldlll~ Ut1lClal
Date
ThiS IS to certify that the request m the abuve appiIcatlon and accompanymg documents IS lt1 accordance with the City Zoning Ordinance and may pnlCecd as requested ThIS document
when signed by the City Planner constltutcs a temporal)' Certiticate of ZOning compliance and alluws construction to commence. Befnre uccupancy, a Ceruficate llfOccupancy must he
issued
Planning Direetor
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