HomeMy WebLinkAboutBUILDING 08-0772
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/
(~311
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL ~f-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~. U:JSr;r
/t:::,- <...B-
DATE I
If. 1'%-1. ('f,;
TIME
(a ~ Q:;/
,:2-.4"'..::;rJ C ~
E- 112-
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION ANrfCEED
o CORRECT WOR~AL F ~ REINSPECTION BEFORE COVERING
Inspector: K t Owner/Contr:
l
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White File I PERMIT NO
2. Pink City . f"/. 77 2...
3. Yellow Applicant }J
(Please tvoe or orint and siltn at bottom)
ADDRESS
/ '/ 3 99 J!t'2t:./ i'/7
C.;f ~:::. A~ / ~r ~/~'fP~e ~ ,/01/
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER b!
(Name) [/ r / a {) ;I'
(Address) / (./ ~-5 7' 9 J!..7 c.l t:/ e/7
t:"C :"7')
,_..) ~J~) / C.
r
ZONING (office use)
PID
/ ~1 /Y7 {Y7 V (0) C' /) /),...-r c1 /J (Phone) 952.2 ;5::'>', 7 5' C' /
/
(:.'-/-' ~~-J" /'/1 ti f t/ ([ //'f" ;1,11/ ,-S S 3' 72'
. )
o Mise:
I
E
II
F
I
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $ 12 J Ck 2 3
(excluding land)
$
I $
1$
1$
I $
1$
$
$
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
I TOTAL DUE
~C~~~~Name) I1A7Eik- (Of].s Iru(~ I-/C'rJ T /1(1. (Phone) 95.2 25), CIU()\-
(Contact Name) TOn W'~ L.osc; /11(.])'- (Phone) q5'~'''2)=--_3. Ljlj;{J,<)-
(Address}~555 ~TC'trv\.C':; .Av-E'fl~ Sdu-l-iJ .#22~ E/(J/}f--f) J 11/J)) 55t.-;'31
. J .
TYPE OF WORK 0 New Construction ODeck OPorch .arRe-Roofmg ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
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 revo~e th1,p,ermit for just ~e, Furthermore, I herebY,agree ~at th; city official or a designee ma~ enter u~on the property to perform needed inspec~s.-:> _)
X ~ / /Y7v jf) . LCJ,SS"/IJ/'l :) ~l I (fJ (../ (II,; ::)- 9 ~ ? J -0.<::
l" /' Signature I' v/ Contractor's License No, ~ Date-
Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Buildinl1. Official
I Paid
I Date
/c, -
,~ t. r~c;. y
Date
# $
# $
$
I $
# 1$
# P
I $
1$ 1~
fJp -
1/
Re4iPt No. go 6 S""&
By .k
()
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