HomeMy WebLinkAboutBUILDING 08-0394
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~
ADDRESS
I ( 0 I ~4 l LLke.- Sl'~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
8 - ~rY
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
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:
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~WORK SATISFACTORY, PROCEED
o CORRiE ACTION AND PROCEED
o CORR CT .ORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector("\ OWner/Contr:
CAl\. ~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
&.17' 01
File
City
Applicant
PERMIT NO. 08.394 I
1 White
Pink
Yellow
(Please type or print and si~n at bottom)
ADDRESS
tLi t'Lf
4lses-{ck
At/t?
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
PID
ADDITION
OWNER
(Name)
C-~9V1'1o_ Ewer-J
l ~ let..( ~/z..e s-t d, :&u e.
ZONING (office lIse)
(Phone) !i )CJ.-L{ l{ tJ .- S'19-~
(Phone) !JS;J-~'1~- '!Cf ""i
(Phone)
SS-oU
(Address)
i BUILDER
(Company Name)
(Address)
~j ~CiV<. CO^-d-..
~~ ~U.~j1er
g-~ i../ IA~ \ZM.- LA ho-. i\
I' -..... ""'-'
,/v\,I\f
IvtC
(Contact Name)
~
TYPE OF WORK 0 New Construction OOeck OPorch ~Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdclitlOn OAlteration o Utility Connection
CODE: DI.R.C. DI.B.c.
Type of Constnlction:
Occupancy Group: A B
Division:
o MIse.
IV V
I M
3 4
A
R
5
B
S
I
E
II
F
I
III
H
2
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby ccrtity that I have turmshed Information on this application which is to the hest of my knuwledge true and correct. I also certify that I am the owner or authOrized agent for the
abllvc.mentlllned property and that all CllOstruct!on will conform to all eXlstmg state Jnd local laws and will proceed in accordance with submItted plans I am aware that the buildmg
()flicial can rc T thIS permit for Just cause Furthermore, I hereby agree that the City official or a deSignee may enter upon the prnpclty to perform needed lI1SpectHms
X ~Sig!f contra!,~::fNO ---' - ~)~~-
Permit Valuation
Park Support Fee
SAC
#
#
2, ')(;0
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I",
Pressure Reducer
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
r Paid
I Date u/f,llJo
I- I
ReceiPt No..,) {,D5 J
By fit, ,.
./
our BUilding~= wh~6ro"d
[ Ite
"
$
$
$
$
$
$
$
$
$
7&, 0 CJ
ThiS IS to certify that the request 111 the abllve application and accompan)'lIlg documents IS In accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when SIgned hy the City Planner ClmStItutes ,1 temporary Certificate of Zonlllg complrance and allows construction to commence Bdene occupancy, a Certificate of Occupancy must be
issLled
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