HomeMy WebLinkAboutBUILDING 08-0825
DATE TIME
CITY OF PRIOR LAKE I leg
INSPECTION NOTICE SCHEDULED /tt?9)
A. l
ADDRESS /f.,/2H Q(J'~5~ VPv
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~SULATION 0 SEWER HOOKUP
NAL 0 PLUMBING FINAL
SITE INSPECTION f} 0 MECH FINAL
COMMENTS: (l.olJ r
"
. L f\
f\( rV_ 1_
L\oQ. rV~tl
. \ () ...,^
tr\ ,/) ~th-- v.v- ( ~
.. v . /'"
a> - e 7...S
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'-P
f'l. .
(~.
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/J'ISNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please tvoe or orint and si211 at bottom)
ADDRESS
/u/ 2~' CI/oS'~5'Q/70/rCL
I. White File I PERMIT NO .,.,~
; ~~~I~w ~~~licant . a e . () 8 ~
e//-c'le
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER A~ ~ ~ c<i e J r C .rei Cf(-' h'-j/'
(Name). 1(. /' / /' / /,
(Address) / (j'/2 it (l;/'()~'3{)/){.-lrav (] / r(4/C ,
I
(Phone) 95? ~~7'
j?r/c:J/ ~.?(#C::"
327C'
/1/1,1/ C;~' ., '7 '/.
/ v f /l-' ~ ::5 c...
~/"C-; ';.7. ~-;)) )\ v. /2. u{'
(Phone) ../c,... (,.... u() /,
(Phone) (;/5'c?? '52S,j' (/&;C)-
D /00 in I . nt:1 .f (J IJ .M /J S S c'/ 3 /
v'
TYPE OF WORK 0 New Construction ODeck DPorch ~e-Roofmg ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration DUtility Conn~@n
~~~~~ Name) /1} rn & t ('alJ.5J/(J( /-Ic /)
(Contact Name) . 'r 0/7 ~I /t cL C) 5 S / -'/) ~/
(Address) C; 5 S 5 ---J Q. f v\ e ~ - A {J i' n 1./ f" ::'5.
CODE: OJ.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Mise:
I
E
n
F
1
ill IV
H J
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
10 ,'7 ~
)
~
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 for the
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for jus\cause.h~urthermore, I hereby agree that the city official or a designee may ent,er upon the property to perform needed inspections. .
X ~' 2o/6? Llt-IO::" /0/8/08
Sig~;./ Contractor's License No. 'Da'
I Permit Valuation Park Support Fee # $
I Permit Fee $ SAC # $
I Plan Check Fee 1$ I Water Meter Size 5/8"; I"; $
I State Surcharge 1$ I Pressure Reducer $
I Penalty I $ Sewer/Water Connection Fee # 1 $
I Plumbing Permit Fee 1 $ Water Tower Fee # 1 $
I Mechanical Permit Fee 1$ Builder's Deposit I $
I Sewer & Water Permit Fee 1$ Other I $
I Gas Fireplace Permit Fee 1 $ TOTAL DUE /l I $ ~) ,
&}
This Application Becomes Your Building Permit When Approved I Paid or/foe. ---- ~ipt No. 57..90-,
I Date /().y,,() y 11< f
....
Building Official Date
This is to certifY that the request in the above application and accompanying 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 construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372