HomeMy WebLinkAboutBUILDING 08-0404
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~(
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
wlbv IJ-cc.-A
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
f o-o-r
DATE TIME
~ 2G'~
f>, ~04
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
/' / I..
/ (--,I V.X
( ----
"-
----
----~ ~~
r / ;)
rrl/ /
'/
--------
~RK SATISFACTORY, PRO
o CORRECT ACTION AND
o CORRECT Wi
----
1 nspector:
o
EED
OR REINSPECTION BEFORE COVERING
Owner/Contr:
~ALL 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
I \Vhite
Pink
YellO\v
File
Citv
Applicant
(Please type or print and si.e;n at bottom)
ADDRESS
ftllUOW
3"2-7
P>(5/fC!t4
IlL.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
<'
(Phone)
(Address)
"
'BUILDER ,"/2. /7 7 /7 / /J
(CompanyName~v~- '(.:T~ //;(:J~r//"A7 I'Y:>
(Contact Name) z:;> fi V ~ ~ ~s: /7.S ~ 't/ _) ,
~//~~ _~,._g~ ;~''S ~ ~ /
Date Rec' d
t, . Z-S rJ8
I PERMIT NO. Of}, 64t:4-+
ZONING (office lIse)
PID
(Phone) ~/..2.S?J /" .5'bJ ~
(Phone)
//..6: /ff",/" _s--S-#2~
/
DRe-~iding DLower Level finIsh 0 FIreplace
(Address)
, ~
TYPE OF WORK 0 New Construction DDeck DPorch ~Re-Roofing
DAdditIon DAlteration DUtility Conner/I,*,
o Mise.
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group:
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
A
B
v
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
Builder's Deposit
Other
Plan Check Fee
Water Meter Size 5/8"; 1";
State Surcharge
Penalty
Plumbing Permit Fee
Mechamcal Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Sewer & Water Permit Fee
I
i $
I $
TOTAL DUE
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
,..,/ - /
?rJI _
t. l"J. d V
~
Paid
Date
Iluildlllg Unlclal
J)a(~
# $
# $
$
I $
# I $
i
# $
$
// $
~.r
II $ '/ (p -
R~t No, ~Ob~
~I
d
ThIS IS to certify that the request 1I1 the above appliCJtllm and accompany 109 documents is in accordance with the City Zoning Ordinance and may pnKTcd as requested ThiS document
when signed hy the City Planner constitutes a temporary Certificate of ZOI1mg compliance and allows construction to commence. Bdnre occupancy, a Certificate of Occupancy must be
l.SSLH.'d
Planning Director
Date
24 hour notice for all inspections (952) 447-91150, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any