HomeMy WebLinkAboutBUILDING 08-0692
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE ( TIME
\e, It. 1. ~ q :: I )
ADDRESS
2~~(p
~1-\~ ~ (~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
VB -0 1 L...
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
77 .~.
1'-c90iv~ ~/~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
I'
tJJL-_
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IKWORK SATISFACTORY, PROCEED
o CORRECT ACTIO' ~D PROCEED
o CORRECT ~"f" C LL FOR REINSPECTION BEFORE COVERING
Inspector: ~} \ .. Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9 z; of
I White
Pink
Yellow
File
City
Applicant
(Please type or print and siltn at bottom)
ADDRESS
2S~~
5f{I~)
{L~
L\.c
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
~c.v"~~ 4-- \~_+h.'. WtLlll-
7_~SL... 'SfV:~ ~ LK- Yl._J
(Phone)
-Sk~fC(
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
PERMIT NO. 68, (PCJZ-
I
ZONING (office use)
PID
Cp d-- '-I--tr-- ~ d-.3J
VV\.N )" S -"3 14'
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility ConnectIOn
I hereby certifY that I have furnished mformatlOn on this application which is lllthe best of my knowledge true and correct. I also certIfY that I am the owner or authorIzed agent for the
above-mentlllned property and that all constructlOn WIll conform to all eXlstmg state and local laws and will proceed in accordance with submItted plans. I am aware that the buildmg
official can revoke thIS permit for Just cause Furthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspectlllns.
~ C\/LJ/~
t1 Signature
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Mise
A
R
5
B
S U
I
E
II
F
I
III
H
2
IV V
I M
3 4
PROJECT COST IV ALUE
(excluding land)
x
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Water Meter Size 5/8"; 1";
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
1G,-
t? z.... _ 0 e
Paid
Date
Buildll1~ Omcial
Date
$
q - ~ -Ov
Date
# $
# $
$
$
# $
# $
$
$
Il $ 7~. 0 ()
/ /
~""t No. ~i'l77.s
B /,
,
ThiS IS to certifY that the request m the above applicatIon and accompanymg 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
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any