HomeMy WebLinkAboutBUILDING 08-0249
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
S333 g~~
.(
CONTR.
OWNER
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
DM~
COMMENTS:
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DATE TIME
~ r-l.( ~cM
X' 2'-11
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR" CA~~NSPECTION BEFORE COVERING
I nspector: I V I Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
[2 -;&,., co
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 08.02.4-1
I
ZONING (office lIse)
(Please type or print and si~n at bottom)
ADDRESS
S"~3~~ 60~1114 '--) ~-t
SE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name) (:.') r~ "(L(:, ~
c23 --73 d-.
Date Rec' d
(Phone) qC"J ~ - Y 4-7 - J ~ 77
(Phone) CO~ I- LJ 251- Lr=;:;)'l:')
(Phone)
fi)\ II i SSe; (2;;)-
(Address)
i BUILDER
(Company Name) ~i~Q(l-~h\l.-r~\X:t(d
(Contact Name) V-P(C'NI
(Address) ~WI n)('rnor~o.J AVQ
(on "51[u (J-l~n
f\. J. I
,
~, /(u)qJe,,'
TYPE OF WORK
o New Construction OOeck OPorch )MRe-Roofing
OAddltIon ~lteration DUtility ConnectIon
o Mise
ORe-Siding OLower Level FinIsh
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group:
Division:
I
E
II
F
1
III
H
2
IV
I
3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
A
B
D Fireplace
40/9.4()
I hereby certily that 1 have lurnIshed ml,)rmatIon on this apphcallon WlllCh IS to the best of my knowledge true and correct. I also certify that I am the owner or authof!zed agent Il)!- the
abnVl'-mcntlOl1cd property and that ;ill ClmstructlOll WIll conform to all CXlstmg state and local laws and will proceed in accordance with submitted plans_ I am aware that the huildIng
~t'CJ?y1: ~ll~:~~r (~)~I;'~f:h:m::= agree that the city Offt:~~;s~~~r Z7 the prnpeny to pert()!m needl~J;lSJo ~
( SIgnature G Contractor's License No_ D,~ \
$
$
$
$
$
$
$
$
iJl $ ~/U-
Re<}6pt No_ -3;-5 /....s.<J
Bf/_ .
rJ
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechalltcal Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permtt Fee $
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
This Application Becomes Your Building Permit When Approved
-/&- /
~ Cj Or
Paid
Date
Buildll1~ Ortlclal
Date
This IS to cerllty that the request 111 the above apphcallon and accompanYll1g documents IS 111 accordance WIth the City Zon111g Ordinance and may proceed as requested Tim document
when signed by the CIty Planner constitutes a temporary Certificate of ZOllmg compliance and allows construction to commence Before occupancy, a Ccrtltkatc of Occupancy must be
isslled
Planning Diredor
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