HomeMy WebLinkAboutBUILDING 08-0845
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS .Y2~, t"
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'1S(J=INAL
1J SITE INSPECTION
COMMENTS:
SCHEDULED
0~A
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
1\\ In" I
~ "",(n ~o ~\ \ 7
-- ....-J - - 1 \. --"
DATE TIME
1~f1cB
~~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
)( WORK SATISFACTORY, PROCEED
o CORRE~ION AND PROCEED
o CORRieT wlA.K, CALL FOR REINSPECTION BEFORE COVERING
Inspect~r:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
File
City
Applicant
I PERMIT NO. Og "S4S
I White
Pink
Yellow
(Please type or print and sil!:n at bottom)
ADDRESS
if J/i 6
U~&fr1or1- L",
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
ZONING (office use)
PID
2. e/~'/1
()L t:J/-..,.-I
(Phone(q.J~) L/i/u - 9'-/'1 7
, D77,..)
D."!"
lfJ'N
Pri',,-or b,/(l.
(Address)
L'\.
/Yl/l
BUILDER
(Company Name)lb:p<!'i; Chi ~ i,Ln'0ftJ'
(Contact Name) UCLVof'_
(Phone) t..')/
(Phone) " ~/
(Address) vL,))"""" /J//c..)1.5 rei, S".~ ~D.2
EZ..JiL A
TYPE OF WORK 0 New Construction ODeck OPorch ~oofing
OAddition OAlteration OUtility Connectlon
/ 0 0 Mise.
CODE: Ik1f.R.C. I.B.C.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
/11./1 S-f)/ 2 Z,
9911 -d6d%
;)10 '- 9 lot'
ORe-Siding OLower Level Finish 0 Fireplace
PROJECT COST IV ALUE $ 8'77'/. (Z--
(excluding land)
I hereby certify that I have hlrnlshed mformatlon on this applicatIOn which is to the best of my knowledge true and correct. I also certlty that I am the owner or authOrized agent for the
above-mentIOned property and that all construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
~icial can revoke tillS perl)ll1Jf Just cause Furthermore, I hereby agree that the Clty official or a deSIgnee may enter upon the propelty to perform needed mspectlllnS
X \~~ /~.,avr.4- ~0r71/~ /c"'-/C'-DA"
/ ~ / Signature - Contractor's License No. Date
Permit Valuation
Permit Fee
2--":::; VO.' ~
'(,4. 1")"
Park Support Fee
SAC
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Meter Size 5/8"; I";
t- '2...~
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Appl! ation Becom~ Your Building Pennit When Approved
k, I 0 1/31 De>
Date
7~:- -"
I oll~
Paid
Date
#
#
$
$
$
$
$
$
$
$
$
l(Q, ...
#
#
Receipt No. ':'-ft:;11(;
By l!.Di+ .
ThiS IS to certify that the requesl in the above application and accompany 109 documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
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