HomeMy WebLinkAboutBUILDING 08-0198
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Ie 7/'-1 1_( /fl\./-, LI-
( -
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
/?J1J- r
COMMENTS:
DATE TIME
S- -/o/-cY
g--/18
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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P"~ORK SATISFACTORY, PROCEED
o CORRECT ACTIOrAND P ED
o CORRECT ~~ 'OR REINSPECTION BEFORE COVERING
Inspector: JI P Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
'{ellow
Date Rec' d
1'.25:08
File
City
Applicant
I PERMIT NO. 013.. O~
(Please type or print and siJ1:n at bottom)
ADDRESS
LYONS
56
/&7/4--
/7'(/6
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
ZONING (office use)
~,/? LAN~e
(Phone) qr;;,., if 'I ?-'- //~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK
o New Construction ODeck OPorch ~-ROOfing
OAddltlon OAlteration OUtility conn~
o Mise.
ORe-Siding OLower Level Fimsh
CODE: DI.R.C. DI.B.C.
Type of Constmction:
Occupancy Group:
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
U
PROJECT COST IV ALUE $
(excluding land)
A
B
o Fireplace
I hereby certity that I have hlrntshed mformatlon on this apphcatlOn which IS to the best of my knowledgc true an,1 ClJrrect. I also certIfy that I am the owner or authonzed agent fllr the
ahoVl'-mentl()ned PTopet'lY and that all constructIOn Will contlllm to all eXlstmg state and local laws and wilt proceed in accordance with submltte,! plans I am aware that the blllldmg
""/~~Y""='" , n,,,n. '"'' on" on, "0 ",",,,, "' , ,,"""" =. ,',.," ",,,," on, ''''''''' '" ,..,'mm "'~;h:' ~R-
~ --==----- Signature Contractor's LIcense No , Date
$
$
$
$
$
$
$
$
/1 $ 7h.OeJ
//
i R~ipt No.~l,D9
I ~y ,. . /
V
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee i $
Gas Fireplace PermIt Fee I $
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fec
#
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
This Application Becomes Your Building Permit When Approved
-"I" _ ~
1<1
4-. ?b~Oe
Paid
Date
lluildlllg Ufficlal
Datc
ThlS IS to certify that the request 111 lht, above applicatlon and accompanY1l1g documents is 111 accordance with the City Zoning Ordinance and may proceed as requested TillS document
v,'hcl1 signed by the City Planner constItutes a tempLJr.:u)' Certificate uf ZOI1lng compliance and alluws construction to commence Befnre occupancy, a Certificate ()f Occupancy must be
i.."iSlll'd
Planning Director
Date
24 hour notice for all inspections (952) 447-91'150, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Speeial Conditions, if any