HomeMy WebLinkAboutBUILDING 08-0250
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
5-2Ir~
ADDRESS
7()U f A./~II-:'"
"
tJ....r ..h--
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
5.z5D
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
o GASLlNE AIR TST
o
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/WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND ~EED
o CORRECT WOf~<--CAI'l.-f!6R REINSPECTION BEFORE COVERING
Inspector:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
S.1l, - or
(Please tvoe or mint and sil!D at bottom)
ADDRESS
71>7~
~. ,:~e ~~~ I PERMIT NO. /)8.0"" C7) I
3. Yellow Applicant (,,1 C-..iJ V
tV~9()~ 6//)t?~ C:::;vk
- .
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
6/4) i 1/",4 K;'.n'l
~ 7;;l 414 'O~ I3N)9<, 6r~
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
ZONING (office use)
PID
(phone) 9sJ- 9/;. - /S 3 '3
~ ~..J/(<- '" .11/1~
.4~~/" AlkrJ '
;) V/Y //7 f:L. 51 F
(Phone)
(Phone)
95;)- 6't'6-,;ydo
C,/d- ;}lJd-e/()9
TYPE OF WORK 0 New Construction ODeck OPorch ,Qfl.e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUti1ity Connection
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc:
I
E
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
1 YJ 97'5"-
II
F
1
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity that I am the owner or authorized agent for the
above-mentioned ...~.... an construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke th- It for' cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
6C Ii ~o3 3<{/6 7 t;f:J;/o S
CRl'~~ Up:nse NR, Doe
~
~ Signature
/
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & tater Permit Fee
x
d as Fireplace Permit Fee
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewerlt ater Connection Fee
I tater Tower Fee
I Builder'yDesRVt
11 ther
I TOTALDUE
I Paid
I Date
7 (., . t/7J
$
This Application Becomes Your Bnilding Permit When Ar r-" . .d
Building Official
Date
#
#
$
$
$
$
$
$
$
$
#
#
~
1/
. Recejj'No.
By ,_
U
'1&.0 0
.5l)/??
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested_ This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued_
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Special Conditions. if any