HomeMy WebLinkAboutBUILDING 08-0253
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
7-rO{(
ADDRESS
/S4(;3
.<; 1Y~ Cr--
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o J!",SULA TION
..JiiPFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
S;~. ~l-1
COMMENTS:
R ,}.S3
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~n' ~A~EINSPECTION BEFORE COVERING
Inspector: (l1/~ Owner/Contr:
I f
GALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERIJ141CATE OF ZONING COMPLIANCE. .
AND li IILITY CONNECTION PERMIT
Date Rec' d
I. WJrit. Fit.
2. Pink C;1y
) YIlIow Applic:m
I PERMIT NO. 08 : 02531
(Please ~ onriDt and siltlut;, ....". )
ADi51~3 ~ &t~ st:, -!JvWuU 66-67q
LEGAL DESCRu uON~office use only)
LOT ./ BLOCK ADDITION
ZONING (oftlce ute)
PID
OWNER f).rv L /}, ~I
(Name) U (}f\.f.JA.M
(Address) ~ ~(
~ ^
~ fJ~ L YwidMYLJ
(PhOne)~~' c;q~.5~Sj
~";'N'=~ ~1/'fIA). c:M-C!- (phone) 45d' W'Q@
(Contact Name) bfJA i " V 0 h.$' rhone) (- ,
(Address) 5556 ~ ~ { fY} IM.1 mfIf:.A-- mr{ 653L/.3
.;
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing gle.siding OLower Level Finish
OAddition OAlteration OUtility Connection 0 Misc.
,CODE: OI.R.C. OJ.B.C.
Type of Construction:
Occupancy Group:
DiYisioa:
I
A B E
n
F
1
m IV V A B
HI MRSU
Z 3 4 5
PR.OJEcr COST /V ALOE $
(exdudinsland)
o Fireplace
~~OCH
I hereby certifY that I have furnished mformation OD this application which IS to the best of my knowled&e true and correct. I also certify that I am the owner or authorized apt for the
abov.e-meanoned, .,. . a that ~ttion wif confmn to all exlStin& state and Iocaliaws ,and will. . ...J in 3..._':-'<< wiIh sullml1ted plans. I am aware that the buildinl
;1Cial can revoke tbis for J~ use. :" rM() ~ that the aty oftlc:ia1 or a <ksi8Dee!MY er\I3 the, ., - ,j to, .n. needed 6':'1i:s / ()/(
. Si con~~No, bale .
I Permit Valuation I Park Support Fee # I $
I Permit Fee S SAC # $
I Plan Check Fee S Water Meter Size 5/8"; I"; S
State Surcharge s I Pressure Reducer $
Penalty S I Sewer/Water Connection Fee # S
PlurnbingPennitFee S I WaterTowerFee # S
Mechanical Permit Fee S I Builder's Deposit $
Sewer & Water Permit Fee $ Other S
Gas Fireplace Permit Fee S TOTAL DUE I S '1 ~ <./7..J
/I
I ~NO' S57:;:LZ
This Application Becomes Your BaildlDl Permit When A,: .: ,. , . 1
I Paid
I Date
.---, -
/CP - ./
5?-CJ~
Buildinlt Official
Dale
nus IS to c:cniI'y that the requm in the above application and a... ....._'inB documents is in accordance with the City loainB Ordinance and may proc:ecd as reqac:sll:d. This doc:ument
whm sipcd by the City Planner. ..__..... a . ....... ...... Certificate of Zooina c:ompIianc:e and al10ws c:onstruetion to ( .,. '...., BeIi:R occupancy. a CcrtificaIe of Qc:cupanc:y must he
issued.
PIamIiDg [..",. ..."
Date SpecW C'~ if lIIIY
24 hour ROtl<< for alllaspedloas (9S2) 447-911..., fn (9!12) 447-4245
16200 Eag1e Creek Avenue Prior-Lake, MN 55372