HomeMy WebLinkAboutBUILDING 08-0873
DATE /
lohT/~B
(
Gf'l1S'()'~ c.'l
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I (;, '1 40
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TWN
~FINAL /<..oor
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
C '- 0 56
TIME
+0
"$.~'1S
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
Fr c- c
2f WORK SATISFACTORY, PROCEED
o CORRECT ACTION~ PROCEED
o CORRECT W~YJ' L FOR REINSPECTION BEFORE COVERING
Inspector: f- ~. Owner/Contr:
l
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND L IILITV CONNEL .lION PERMIT
15 d--J-j1-/7-'jg!,D
F) li.fJ- 4~7- "'~lJ{"
I. White File
2. Pink City
3. Vellow AppIiCll\t
Date Rec' d
I PERMIT NO. Db ...s 13
J~ 1~o
(Please tvJ:le or print and sian at l .'"." ,.)
ADDRESS
(r;W\~c>., C-f (f.
LOT
BLOCK
LEGAL DESCRtr llON (office use only)
PID
OWNER./l!1 . \
(Name) /.. ,'^ f k.
(Address) J /:; Cf },/o
ADDmON
/-1 ~~ I b~ r:J~ r
C. ("; Wlf>o., CJ. -SG
ZONING (office use)
(phone)
b J '2 -~ Q / - 3 () I ?-
BUILDER /' () .'
(Name) t:.,-r"",.f- l<--et1ADU/'J
(Contact Name):J" ~ (;-rc.. V\~
(Address) ;;2. (hq ~" J J ~ f.
TYPE OF WORK
o Misc.
I
<< (l.c.. &'
(Phone) {; r; 1- J.j~ h tfo 0
(phone) (p 5/-1'6 3t-;8 .1 -:J.
f'VV 5"SIJ 7
r..... c.
L ',Uk 0.. VI "dh.-
o New Consttuction
ODed
o Fireplace
)StR.e.Roofing
OAlteration
ORe.Siding
OUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my kno~ trUe and __..~~_ I also certify that I am the owner or
authorized a~t for hove-mentioned r"r ....j and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. ware th7ft th building official can revoke this permit for J.ust cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the perf,IfDI ded inspections,
X "/ {(~) '..A.4A . ,~ 6 s, 5- ~A/l.( 9'-ltr 0 'IJ
v (SignatUre Contractor's License No. Date
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
~ ~ . il~. & Water Permit Fee $
Gas Fireplace Permit Fee $
rtrr"'~-:197.Z1
Building ~ ;J Olte ~O/ft!t.
- -----
OLower Level F"mish
OPorch
OAddition
$
$
$
$
$
$
$
$
$
(.~- -
PROJECT COSTIVALUE (excluding land) S
z c:;-~" ..-
i 4. ,,"
Park Support Fee
SAC
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Paid 7Jo...,." I
Date lol'20/~
., I -".
- lL~..:... No._ ~~ "}f l-
Bv r't) '(t"
Date Special Coo r.." ", if any
24 bournotice for aU I "J', ", :ODS (952) 447.98S0, tax (951) ....'....145
16200 Eagle Creek Avenue Prior Lake, MN 55372
This is to certify that the ~ in the above appr.~ J"." and accompanying :" "," ." ., is in aa:ordance with the City Zoning 0rdInaDcc and may r" _..J as~. This document
wben slped by die City P1anner c:onstituleS a ,_..~ ...,; C~ of Zoning compliance and a110ws construction to ..<...... ..... Beftn occupancy, a C~ of Occupancy must be
issued.
\.. 1-,)
Water Meter Size 5/8"; I";
Pressure Reducer
Planning Director
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
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