HomeMy WebLinkAboutBUILDING 08-0802
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 1O{sta{o~
ADDRESS 5lJ '"'& () r i ol~ f(
OWNER CONTR.
PHONE NO. PERMIT NO. 8 - t5~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~INAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: (k~
V
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~O~K SA~I;:C.70R/ P~O~~E~
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Qr
Inspecto : 1./1 Owner/Contr:
CAL ~44',j..J50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
3:43PM
No,0470
p, 2/2
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
tEt ~kItu I PERMlTNO. 08.0 BOzL
r.Pleue tT'!C or orim and fie at boaom)
ADDRESS / ZONING (office 11M) .
f5YI2 Or/o ~ Ilate Sou..fh Fast
LOT
BLOCK
LEGAL DESCRlPTION (office use only)
ADDITION
PID
&=R KOtI-/~ O/S 0 n , (Phone) (IIZ' 5/~. tJgSf.tt;
(Addrt!SS)59/2 Or/ole Place SOolh Casl-! .fl/ldr ~'a/?e, f1!J S537;)
~~;;'~Name).AJ1E.i' {basl/veI-JolI . m,lt. (Phone) tl6?' 8J>J'. /200
(Contact Name) / ..!!ny/6t.. C:'d~/{"~//1d/ : " . CPhone)Qs2. 253- t/~CJ0
(Address)9'..5S5 Jam -t',$ AI/e/'Jue ~.#22!> / ~/OIJ)11I" -!-on.' l0u 55f.~'/
ORe-Siding OLowcr Levtl Finish. 0 Fireplace
TYPE OF WORK 0 New Constructio~ OPec]( OPorch ~e.Roofang
OMdition DAlterAtio:c. OUtilit)- CoDllC~~
I hereby ccnify tlw I have lUmisbed in~tJO%l Oll. lhu ,wlieation ....hicll is tllthe best of my Ialowledge l:t'Ue aod COrtect. I a&o certify thaI I I.In tbe owner or a.uthoriJed agent lOr the
above.rneationcd propcny IUId thar all COMltUcti(>1l -..i.I1 coll':lrm. 10 all Cll.isting Stalc and locallll"" and will pro~ed in sc:coldatlu "",th SUbmitted plans, lall1 ..wue that the building
oftklAl CIJ\ revolce Ibi:l peflflillOr jU$r cause. FUJthennore. I hereby "llI'u th.\t the city llftki~ or a dcsil!Dee lIIay enter upon the propc:ny 10 perform Deeded IMP~Oll~
W {;2. 01 (0 t.f4d !J- q / 3t) JoR
~ S~~tu{e ConuaclXlI'S Licmse No. Date .
\../
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penal ty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Pennit Fee
CODE: Dr.R.C. OX.B.C.
Type of Co.ostructicm: I
OCCUPaDCY Group: A:B E
Division:
x
Gas Fireplace Permit Fee
o Misc:
II mrvvAB
F HI MJlSU
1 2 3 4 5
PROIECTCOST/VALUE $ If). 7 fJ; ,9
(exc1u41~ lu4) I'
$
I S
IS
I $
I $
I $
$
S
I Park Support Fee
I 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
#
j)iUe
I $
1$
1$
IS
IS
1$
I $
IS
, TOTAL DUE &rU,;60 10. I. Ob ".h$
II
Rec~No.
C.-
'lG"OD
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#
#
#
. 1l1Is A'ppJtcatlol1 BlCOl!KS YoU( lluilcll1lj Permit When Apprond
B~\
Paid '/C,. 0 0
Date i () . ?: 0 ~
Thie is to cmit}< tIw the requesc ill thc above application Vld accompanying doeurnents i:l in accordance with the Ciry Ionicg Ordinance and lIlay proceed &.! nquesled. This docu~1
...11." ~od by die City PlulDer collSliNtCll ~ ~lIlporllly CettiACAte or Zoning compJian<:e and altci'wol.cOMln1erio" to C:OlllJrleQC.. Jlemre oecupu.")'. ~ Ceni~l' of OCCUp.1.1l"y U1\I.1 be
issued,
P!anQing.DiftlClOr
Datr. Spedll! Conditlo~l. If lIJ/Y
14 hour notiu ror aU iAspectlons (952) 447-9850. rax (952) 447-4~45
4646 Dakota Street S.E., I'rior Lab, Minnesota 55372