HomeMy WebLinkAboutBUILDING 08-0124 (2)
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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DATE TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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fWORK SATISFACTORY, PROCEED
o CORRECT ACTION;:PND CEED
o CORRECT WIi~C L R REINSPECTION BEFORE COVERING
Inspector: ~/ 1/ l Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETYI
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sil:n at bottom)
ADDifd<)"<)" ~rJ~ D
(;AfL
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
frll FT>N
(Address) ).~
BUILDER r~ t .... .. 17 i ..-A..
(Company Name)-U'1~(;e6{Jj
(Contact Name)
OWNER
(Name)
(Address)
Date Rec' d
3. 2-1-. (J r
I White
Pink
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File
City
Applicant
PERMIT NO. 6~ OIZ-4--
ZONING (office use)
PID
(PhOne)qQ--'IJ:) -OIJO
~
(Phone)
(Phone)
#0. 9357
/
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
DAdditlOn DAlteration DUtility ConnectIon
CODE: DI.R.c. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
x
Signature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechal11cal Permit Fee
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
2/500.001
$ I
$ I
$ I
$ I
$ I
I
$ I
I
$ I
$
This Application Becomes Your Building Permit When Approved
lluildlllg Ul1Iclal
Date
o Misc.
$l1dfYJ
B
S
U
PROJECT COST IV ALUE
(excluding land)
T tlf authorized agent tor the
I am a arc that the bmldmg
Contractor's License No.
Date
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
I $
I
/J$
i Reck;/No.
I By)'
l,/
('
7&.00
I
~S3z...
TOTAL DUE
Paid
Date
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This IS to certify that the request 1Il the above applicatInI1 and accompanY1l1g documents IS m accordance with the City Zoning Ordinance and may pn>cl'cd as requl'sted. This dl)CUfficnt
when signed by the CIty Plilnncf constltutcs a tcmpor,uy CertIficate uf Zomng compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
J,Ssucd
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