HomeMy WebLinkAboutBUILDING 08-0449
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
K.FINAL ~ {.o {'-\.A-
D SITE INSPECTION
COMMENTS:
fATE /
SCHEDULED iD/c5/~
=3 {tJ '10 0 (L<.- u/v ~q.-<--{..L
TIME
4- c;o
CONTR.
PERMIT NO.
08 --4#
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
Cv 0;,5~
Ire:-
~RK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEE
o CORRECT WORK, C~R R6fNSPECTION BEFORE COVERING
Inspector: Ie j' T Owner/Contr:
t (i
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
i ":~e ~~~ I PERMIT NO. Oa. C'AA-Oc; I
3. Yellow Applicant (.1 n-r
(Please t:v1Ie or Print and sip at [ . ,.,...)
ADDRESS , () )
:3 (,. /j 0 LVI /IOLt) &ad1 -rau..;SW -1 rflDr I- die. ~3 3 7 d-
ZONING (office use)
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
PID
ADDITION
&:R Rn).J fJ 7:bRbTIfr-J Alcf/oL/t-$ (Phone) 4 5 ~ - Jd fE; - ~ 75 (p
I
(Address) 3t70 /,(.UloUJ (~ 7&/t 50 LB.ioR-we ,J.-t0<;,S3 7;;L
J I
BUILDER {'(\ ;.. .-1 '-7'l s- /. I 7"?
(Company Name) J/ /..( a rv--f Lf) JJ J!2'tt' -r1 JJj (phone) .' ~3 4- ,- .
(Contact Name) AA h LLv Loom J " (phone) 1/
(Address) 11il'7 flrJ.-kr j1)r JJt-. 15mn~ k1tr 1!4'12IL ~-7 4-3~
I f -
TYPE OF WORK 0 New Construction DDeck OPorch ORe-Roofing ~e-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration OUtility Connection ?\U
CODE: OJ.R.C. OJ.B.C.
Type of Coostruction:
OccupancyO.. .,,: A B
Division:
o Misc:
J
E
II
F
I
m IV
H J
2 3
V A
M R
4 5
B
S U
PROJECT COST/VALUE $
(excluding land)
/C:.ltJZJO
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authorized agent ror the
above-mentioned y.~y...j and that all construction will conlbrm to all existing state and local1aws and will proceed in accordance with submitted plans. I am aware that the building
official can revn. this permit for jus~.....Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed in~ons.
X '-1.11 AJ L? ( /Vf'11J~ W 0/ (P h /UJ/u tV
f . / ~~re Contractor's License No. - Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
1$
1$
Park Support Fee
SAC
# $
# $
$
# $
# $
$
$
$ 7&. e/U
II
Re('1Pt No, ~(#3-07
By __
~
Water Meter Size SIR'" 1'"
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Building Official
I Paid
I Date
/&?VV
? B. OJ/
Date
This is to certifY that the request in the above application and a..w~y""ying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows w.....~Jction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
14 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372