HomeMy WebLinkAboutBUILDING 08-0366
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
sq?<:: C,rd>s'<kfJ-..u
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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CONTR.
PERMIT NO.
DATE TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND ~CEED
o CORRECT WORK. C~R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETYl
J-NSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
J Yellow
File
City
Applicanl
(Please type or print and sign at bottom)
ADDRESS
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St'.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
. (Phone)
(Address)
.B:UII.BER ClJY\ \'i il c..~ .
(Company Name) .c'q( \ V\~( f:.-XlfltaYS
(Contact Name) ~6V\ ~ IV OV\.~ Hit/]
(Address) Po f)1'/.. vlvi, fYl/r( L^~
1 llC
(Phone)
(Phone)
Date Rec' d
6. (( (; y/
I PERMITNO'08.~03(P"
ZONING (office use)
PID
q<) 1 . ltLfU' 1116/7
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE; DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
B
S U
PROJECT COST/VALUE sl OOd. () u
(excluding land)
I
E
II
F
I
ill IV V A
HIM R
2 3 4 5
. I htTeby certify that I have furnished information on Ihis application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for lhe
above-mentioned ".."...; and that aU construction will conform to all existing state and Jocallaws and will proceed in accordance with submitted plans. I am aware Ihat the building
;ciaJ can revo~~or J~~i' y,rthermore. I hereby agree that the city official orre046m;cnleS:the property to perform necded ~T~i7() 'l
Signa~e ~ Contractor's License No. . Date -
I Permit ~ aluation I
I Pennit Fee I S
Plan Check Fee I S
State Surcharge I S
I Penalty I $
I Plumbing Pennit Fee I $
I Mechanical Pennit Fee I $
I Sewer & Water Pennit Fee I $
I Gas Fireplace Pennit Fee I $
, Park Support Fee
, SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
I Paid 7' - \
I Date t" II ~ CI/
This Application Becomes Your Building Permit When Approved
Buildin/! Ollicial
Date
# 1$
# i $
I $
i $
# i $
# 1 $
i $
i $
is
1!~iPt No.
IB
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7~
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ThIS is to certify that the request in the above application and accompanying documenu is in accordance with the City Zoning Ordinance and may proceed as requested. This document I
when signed by the City Planner constitutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions. jf any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372