HomeMy WebLinkAboutBUILDING 08-0261
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Ic, (iL~ L{
/A/IIICI'IA/ !o/L
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
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COMMENTS:
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~.#OR REINSPECTION BEFORE COVERING
Inspector: I II r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
[. White
2~
J YellO\'i
File
City
Applicant
(Please type or print and sil!:n at bottom)
ADDRESS
Ifo<1 ~L{ {d:((ow L(\
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
~c..~ V\I\ ~t
wNt 0 (,V'
In
ILI!e
.
Ih'iJ.-l{
(Phone)
(Address)
Date Rec' d
I PERMIT NO. OjJ / :2-{o }
Z07L-r(OffiCe use)
PID 1 c; .. ~ 4fJ ..o"?, t--O
Cf52.
L(t(73tftJ1
BUILDER F: Co". LoY"\{J. l~ ~, &$1 d-.01 ~I ]'0
(Company Name) _tle.-rre"e,.~ (Phone)
(Contact Name) ..\ctSo (Phone) (oS( ,75 ql8G
(Address) cr )() /{Qlt~p( Itf-v<. S I/IN ~I s 1-. jJ4f (,/ (
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TYPE OF WORK 0 New Construction ODeck OPorch ~-ROOfing ORe-Siding OLower Level Finish o Fireplace
OAdditlon OAlteration o Utility ConnectlOn
CODE: DI.R.C. DI.B.c. o Mise.
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $ ~ L(OOO
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5 (excluding land)
, /1
formation on thi' plication which is to the best of my knowledge true and correct. I also certIfy that I am the owner or authorized agent for the
I cont()rm to all eXIsting state and local laws and will proceed in accordance with submilted plans I ,~~~Iware that the building
Jre. I hereby agree that the CIty official"3.015e m46er;~ propeny to pert(Jrm needed IS( (3/6 t"
Contractor's License No. Date l
x
Permit Valuation
Park Support Fee
-z- 7:J uo. '
L 4.(.,-
SAC
Permit Fee
$
$
Water Meter Size 5/8"; 1";
Plan Check Fee
State Surcharge
$
$
$
$
Builder's Deposit
Other
Pressure Reducer
Penalty
Sewer/Water Connection Fee
Plumbing Permit Fee
Water Tower Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I
I $
Gas Fireplace Permit Fee
TOTAL DUE
Paid
Date
~ r~., ,
~/I~ leg
# $
# $
$
$
# $
# $
$
$
.
$ lip.
Receipt No. ~ _--)14 f
By rLf) kt
rhlS IS to certify th;tt the request In the above applicatIOn and accompanymg documents is 1Il accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner Cllnstltutes a temporary Certificate of Zoning comphance and allows construction to commence Before occupancy. a Ccrl1ficate <If Occupancy must be
i\slIcd
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any