HomeMy WebLinkAboutBUILDING 08-0031 (2)
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~ oLI S-
OWNER
PHONE NO.
o FOOTING
o FOUNDA liON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
;;IJ-Jl 0 B
I
120..8 (.).
QlLt,
LI
CONTR.
PERMIT NO.
8 - 003 (
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
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~ORK SATISF~CTORY. 'PROCEED
o CORRECT ACTION AND PROCEED
o CORRlilC ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto. / b Owner/Contr:
C1\ 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
(Please type or print and sil:n at bottom)
ADDRESS
f-O~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. ()8 . 003-1
/Z;:fJ;otr~ /C40C~ ~
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
PID
OWNER
(Name)
(Address)
ADDITION
(Phone)
i BUILDER
(Company Name)
(Contact Name)
(Address)
Cetf'1 DeA~;1 {OIlS-". rnc..
(~'1 'Be t'\8&11
1l15~;)- wi'l4s P)<I.1rl
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
A
Date Rec' d
/. z,~ . Ob
ZONING (office use)
(Phone) -W- )tf:J.. ~~VJ
(Phone)
Pr;o{ loJ< -e... I mAl
I
S-S:3 7 d--
ORe-Siding OLower Level finish
B
I
E
II
F
I
PROJECT COST/VALUE $
(excluding land)
o Fireplace
I hereby certity that I have hlrmshed informatIOn on thiS applicatIon whIch IS to the best of my knowledge true and correct. I also certify that I am the owner or i1l1thollzed agent hll the
dbove-mentlLlned pro perry and that all eunstrllctlOn will Cllnform to all eXisting state and local laws and WIll proceed In accordance with submitted plans I am aware that the building
~ti(l'll can reV{)k~~Sr c~~ agree that the Clry otfiClal ur a deSignee may enter upon the plOpeny to pel torm nee;': 7~:'0(
I V SIgnature ~ Contractor's LIcense No Date
TYPE OF WORK 0 New Construction ODeck OPorch~1e-ROOfing
OAddItIon OAlteration o Utility Connec~~
o Misc.
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
III
H
2
IV
I
3
V
M
4
A
R
5
B
S U
Park Support Fee
#
#
$
$
$
$
$
$
$
$
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water ConnectIOn Fee
#
#
Water Tower Fee
Builder's Deposit
Other
$
$
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
Paid
Date
l(t/~ j/V
/-?~_ Un
A$ 7&,0 0
/ j ~-
Rece~o. ~'/5/
By L: .
o
Iluildlllg Uniclal
TOTAL DUE
ThiS 1.'1 to certify that the request 111 the above applicatlOl1 and accompanymg documents is 111 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed hy the City Plannn constitutes a tcmpurary Certificate of Zonmg complIance and allows cunstructlOl1 to cummence Before occupancy, ;1 Certificate ()f Occupancy mllst be
issued
Planning Director
Datc
Date
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any