HomeMy WebLinkAboutBUILDING 08-0420
ADDRESS .I>~O
DATE
SCHEDULED ~J7/~
1"'
GJik.cL l ~ \' r
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
CONTR.
PERMIT NO. . 0 9,~ () LI'20
OWNER
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~INAL 0 PLUMBING FINAL
o SITE INSPECTION f) 0 MECH FINAL
COMMENTS: (t.a (IV;'
-....... .
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
f\\ ,\t r If "
\)~~\ LV
. - I '"
"'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~RK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: '1 ~ OWner/Contr: .
CALLk-Ala/o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
..~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
ll'iS/'iOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' Q
&.30,OY
White
Pink
Yellow
File
City
Applicant
PERMIT NO_ tJ~"' 04-Z-(~
(Please type or print and sign at bottom)
ADDRESS
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LPnLe ltZ,A-lL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNE~ J A
(N ame) 'f M( J.+
(Phone)
(Address)
BUILDER ""J ,-;-, .
(Company Name) L..l:)N IT\-\
(Contact Name) 6 ~ \lYj
(Address) 'iw \ n~b-\
ZONING (office use)
\2Yn::\ll \J\6
t'~J
~~N\ (2~
(Phone) 9'~rl(o- l \~ \
(Phone)<:1K. L - }d~ - , , 3> I
\~ \ ()'(L LI\1A ,'SJ]'"L
, IN c..
.
TYPE OF WORK 0 New Construction ODeck OPorch ~e-ROOfing
OAddltIon OAlteration o Utility conne(tiCtf!
CODE: OLR.C. OLB.C. 0 Misc.
Type of Constnlction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Fimsh
PROJECT COST /V ALUE $
(excluding land)
o Fireplace
ertif that I have hlrmshcll mformatl1m on tlm applicatIOn which IS to the best of my knowledge true and correct. I also certify that I am the owner or authunzed agent Inr the
ned property and that all' structllln Will conl"rm to all eXlStmg stale and local laws and will proceed m accordance with submitted plans. I am aware that the buddmg
evo~~~: c Ie FUlthelmmc, I heleby aglee that the City offiCial or a deSignee may entel upon the plOpeny to peltmm ",&n:')':_ U ~
Signature Contractor's License No Date
Permit Valuation
Permit Fee $
Plan Check Fee $
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
()
{j
R)ceipt No.
- .-13 V
d
This Application Becomes Your Building Permit When Approved
Paid
Date
-;t~(,Z/ /
[jC'. ,~V
lluildlllg Unlclal
Date
$
$
$
$
$
$
$
$
$ ?&.. (/Z)
sz., (1/ (~
ThiS l."i to certify that the request In the ab\lvl' applicatiOn and accompanymg documents IS In accordance with the City Zonmg Ordinance and may pnKTcd as requested ThiS d\K'umcnt
when signed by the City Planner constItutes a temporary Certificate of ZOl1mg compliance and allows construction to commence Before ()ccupancy, a Ccrtlficatc of Occupancy mllst be
i,Sslled
Planning Director
Date
24 hOllr notice for all inspections (952) ~~7-9!l50. fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if aoy