HomeMy WebLinkAboutBUILDING 08-0346
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
'G2J13
Vc;-/L.x~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
fU~
COMMENTS:
DATE TIME
7 -2 ~~
5.5 ' 3q~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
..------ -~
/.,~ ~
/ //,_ rei /
( I ~I V~ [( Lt" ~
"'-- ~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND ~ED
o CORRECT WORK, c~ e.e1R REINSPECTION BEFORE COVERING
Inspector: J!j I Owner/Contr:
i ,
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 Rec' d
& .10. cJ~
I White
Pink
Yellov.'
File
City
Applic~nt
I PERMIT NO.O r. os4b
(Please type or orint and siJ1;n at bottom)
ADDRESS
I!P Z93~ vk (/, ,"-IA.> (~~ IV~
1- r
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
M6rurDIAN
(Phone)
(Address)
BUILDER ~ (....--:--/
(Company Name) UAL/;^-, . v't'/
(Contact Name) f)/AA.-: /) ~-f)/
(Address) 10 L. \ D f <{ '] l-
to 1'1<; l
ZONING (office use)
(Phone)
(Phone)
1\~r:2- 91 z . o/~ /
rl kJ~~ /
TYPE OF WORK 0 New Construction ODeck OPorch ~e-ROOfing
DAdditlOn DAlteratlOn DUtihty connfl~n
o MIse.
ORe-Siding OLower Level Fmlsh
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group:
Division:
B
S
V
M
4
A
R
5
IV
I
3
II
F
I
III
H
2
I
E
U
PROJECT COST IV ALUE $
(excluding land)
A
B
o Fireplace
. furnished mformation on t hcatinn which is to the best uf my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
ab<lVC-mentlllned operty and that all constr n wilJ conti)rm to all eXisting state and local laws and wIll proceed in accordance with submlltcd plans I am aware that the bUIlding
X . ~ agree that the CIty ofZ6~'Z;;:; l~~n-7 propelty to pcrt(Jrm nmilZ~/O'_ 0 6-
" ?' Signature Contractor's License No. Date
()
1/
i Rlt1Pt No. ..!40/Q'
I 80 r . (
r Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace PermIt Fee $
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
This Application Becomes Your Building Permit When Approved
Paid
Date
'2& ---
""Ic).V!
Blllldll1~ Urticial
Date
$
$
$
$
$
$
$
$
$
.,......, /
j{P
-
ThIS 1S to certify that the request 1I1 the above applicatIon and accompanymg documents is in .1ccordance with the City Zoning Ordinance and may proceed as requcstcd This document
when signed by the CIty Planner C'.1I1Stltutcs a temporalY Ceruficate of Zoning complIance and allows construcuon It) commence. Berme occupancy, a Certltic;lte of Occupaney must be
issLlcd
Planning Director
Date
24 hOllr notice for all inspections (952) ~~7-985(), fax (952) 4~7-~245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any