HomeMy WebLinkAboutBUILDING 08-0143 (2)
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/4()~) ( I?M~<--U
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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G- LJ~t/I-+
Lko
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,~ II
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DATE TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT W~~' ~OR REINSPECTION BEFORE COVERING
Inspector: t/' V r Owner/Contr:
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 UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 08.0/4-3
(Please type or print and sil!;n at bottom)
ADDRESS
14-0{,.5" ~nr1b~
/t1/l-
C::-.
Nb.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
i BUILDER
(Company Name)
I (Contact Name)
(Address)
'. iu /'2.../ LV'1 /-/-CI /l1 ~ :t
Dcr" E~~~..,J'?"'-f! fJuri
"'
/ ~)..O)- ~i'\ ~ n/ f''-.I) Ct-.
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(Phone)
(Phone)
I
TYPE OF WORK 0 New Construction ODeck OPorch ~e-ROOfing
DAddltlOn DAlteration DUtility conitlOn
CODE: DI.R.C. DI.B.c. D Mise.
Type of Constmction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
Date Rec' d
4-.7.0b
ZONING (office use)
PID
?12 -J/6
c,E,I'j
f.#'?M-~
ORe-Siding OLower Level FinIsh 0 Fireplace
PROJECT COST IV ALUE
(excluding land)
1/t.A, ,&-~ .
$ v (.;OO..i (J
I hereby certlty that I have hlrnlshed mfnrmatllln on this applicatllln which IS to the best of my knowledge true and correct. 1 also certify that I am the owner nr authorIzed agent fnr the
Jbovc mcntlOJ1cd PIOpt.J'y that all constl~~~_~~ wlil conform to all eXistIng state and local laws and \\111 plocecd 1D accOId,lIlu.' WIth submItted plans I ,tm dWillC that the blllldmg
IlttJC1al can lcvokc thl~lx'lmlt or JlISr;.~ 71lclmOlc, I helchy aglcL' that the Clty ottinal O[ a deSignee may cntel upon the plopelty to pCltorm needed mSPL'ctl0J1S/0
X // 71/r-~ - L/1/7 () ~
~ - , A--. '
a utgnature Contractor's License No /,Jate
,
Permit Valuation
f(z~co,oc)
$ 7~1 7~
$
$
$
$
$
$
Water Tower Fee
Builder's Deposit
Other
Permit Fee
Park Support Fee
SAC
Plan Check Fcc
Water Meter
Size 5/8"; I";
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
/. z,~
Pressure Reducer
Sewer/Water Connection Fec
Sewer & Water Permit Fee
Gas Fireplace Permll Fec
$
TOTAL DUE
~~ldingp;; :~APPro"d
Huildlllg Unlclal ~ll~?'
7t/. (,IV
if 7 (Jh
Paid
Date
#
#
$
$
$
I $
I $
$
$
$
() I $
Receh~t No.
B10
7ff7- 0 0
.~5lJ
#
#
ThiS IS to certify that the request 10 the above application and accompanYlllg documents is in accordance \vith the City Zoning Ordinance Jnd may prDcecd as requcsted ThiS document
when signed by tIll' City Planner constitutes a temporal)' Certificate of Zonmg compliance and allows constructIOn to commence Bcfure occupancy, a Certificate of Occupancy must be
lssucd
Planning Director
Date
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any