HomeMy WebLinkAboutBUILDING 07-0225
DATE TIME
CITY OF PRIOR LAKE (;/~l-d?
INSPECTION NOTICE SCHEDULED
ADDRESS l7!~ j;l)/~ c: r~
OWNER CONTR.
PHONE NO. PERMIT NO. 7-'LJ.~
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o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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!1YWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND ~EED
o CORRECT wo,(.l~ CA~R REINSPECTION BEFORE COVERING
Inspector: 1/ '" f Owner/Contr:
V I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
+. !(,d) 7
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 07.02."2. S
(Please type or print and si~n at bottom)
ADDRESS
ill6lP I~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT )<7BLOCK
ADDITION
PID zr. A--Z2-. 01 D. D
OWNER
(N ame)
JJhn OJyt
IllaP IM[JV
(Phone)
~~1-C1~1
(Address)
BUILDER f ('p1/1 '0 ~1.-.
(Company Name)JLLL1 ~ I Jl J~
(Contact Name) tvY:ULW
(Address)_Y 100 ~(ttJ)nv 'Blvd
(Phone)
(Phone)
q~-C1 i 5-12:27
TYPE OF WORK 0 New Construction ODeck OPorch
DAddition DAlteration DUtility Conn t1
e~Siding OLower Level Finish 0 Fireplace
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST /V ALUE $
(excluding land)
IS Ii o--r6
I hereby certiff that I have hlrmshed mformation on this application which IS to the best of my knowledge true and correct. I alsLl certify that I am the owner or authonzed agent lor the "-
above~mentlOned property and that all construction will conform to all existmg state and local laws and will proceed m accordance with submllted plans I am aware that the buildmg
official can revoke thiS pe - It for Just c use Furthermore, hereby agree that the City official or a designee may enter upon the propel1y to perlorm needed mspectlOns
X \~",:"" 1~"~"'Li="N" L/Jvitf7
This Application Becomes Your Building Permit When Approved
I Park Support Fee # $
I SAC # $
I Water Meter Size 5/8"; 1"; $
\ Pressure Reducer $
\ Sewer/Water Connection Fee # $
\ Water Tower Fee # $
\ Builder's Deposit $
I Other $
I TOTAL DUE $ 7t., . 0 ()
Paid 7(,. d 0 Rtt No_ D2-I-r-
Date . #./" .,/7 -g; .
d
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee ! $
Gas Fireplace Permit Fee I $
Blllldll1g OffiCial
Date
ThiS IS to certlff that the request 111 the above application and accompanymg documents is m accordance with the City Zomng Ordinance and may proceed as requested TIm document
when signed by the City Planner c'.mstltlltes a temporary Certificate of Zonmg compliance and allows construction to commence. Befllre occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any