HomeMy WebLinkAboutBUILDING 08-0022 (2)
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/4/7C ~ ~
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
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COMMENTS:
DATE TIME
9-(J- tJY
-1$- ~ 2-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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PORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~C~~~INSPECTION BEFORE COVERING
Inspector: /1 1/ Y 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
(Please type or print and sign at bottom)
ADDRESS
/4/7(P
Sl{o!26
LAAle
LEGAL DESCRIPTION (office use only)
I While
Pink
Yellow
File
City
Applicant
PERMIT NO. 0 6 . 0 0 L,,-~
N€
Date Rec' d
/. /1.ob
ZONING (office use)
LOT l..CBLOCK 1- ADDITION SAN'.o "7. 4TH-
PID 25. 2/5. Ob 1-: ~
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name) 'S'" V E:
/&J)
(Address)
8FISS6L W/NL)OW
LA 1Y\t!: Y (:yz..
o Ii JLD 1/-1, C jhi (
(Phone)
(Phone)
~ 5 (
vv' {j T
(Phone)
S;T ' f~L
)(Re.Siding
TYPE OF WORK 0 New Construction ODeck OPorch ORe. Roofing
OAdditlOn OAlteration o Utility ConnectIon
OLower Level Finish
CODE: OLR.C. OLB.C. o Mise
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certlty that I have tmmshed mformatlOtl-ill1 this apphcatlOn which IS to the best of my knowledge true and correct I also certIfy that I am the owner or authOrized agent I,ll' the
,lb"vc.mcntll1ned....propcrty and that all.ClJ.lIStfUctlYn will Cllnform to allexlstmg state and local laws and. will p.roceed m accordance with submitted plans I am aware that the buildmg
~fiClal ca\~ltt()~~t';~e, ~:e: agree that the City official or a deSlgn~ m:; e? Jon the propel1y t(, pertorm ;)7~d 'j'PC;/I:'O %
. J ~ture Contractor's License No. Date
~
1 Permit Valuation
1 Permit Fee
I Plan Check Fee
I State Surcharge
$
$
$
2,500.001
1
I
I
I
I
I
I
1
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
$
$
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Y OUT Building Permit When Approved
Iluildlllg Unlcial
Date
Park Support Fee
#
i-{J)
C f Jj-
SAC
#
5.) / LJ
o Fireplace
$
$
$
I $
! $
$
$
$
$
7b.OO
5'S J.J r
Water Meter
Size 5/8"; I";
ThIS 1S to certify that the request in the ab()ve applicatlOI1 and accompanYll1g documents is 1Il accordance with the City Zoning Ordinance and may proceed as requested ThiS document
\\'hCI1 signed by the City Plannl'l constItutes J temporary Certificate of Zomng complIance and alluws construction to commence Before occupancy, a Certificate of Occupancy must be
)ssued
Planning Director
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
-~ -
/ ~I
I r7,O\f
()
~iPtNo,
o
,-
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