HomeMy WebLinkAboutBUILDING 08-0216
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
;2[,6& SO.-'tv., / ,/. jUt
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
o MECH FINAL
COMMENTS:
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DATE TIME
S- (t{. dr5
v-2le
o EXIGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
#WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~, &R REINSPECTION BEFORE COVERING
Inspector: /I / r OwnerfContr:
V
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
Date Rec' d
I While
Pink
Yello\l.,'
File
City
Applicant
I PERMITNO.OS_Z/(,
(Please type or print and si~n at bottom)
ADDRESS
2-b bC Spr\~ Lk R{\(
Iv
LEGAL DESCRIPTION (office use only)
ZONING (office use)
LOT
BLOCK
ADDITION
PID
OWNER 'f) , <u ' l
(Name) ~~ .'e r ko \/1 (... ,
(Phone) (9~-2.)Y.(j3"r2 9f-
(Address)
i BUILDER (~ I (1 t . . _ r-
. (Company Name) ~r\+ f.eS.J f-~W\~y+ty~r j
(Contact Name) A...-t k; nJS VIA;
(Address) Rio tJ {('J41r~ ~'" N ~~"".f-l.) N N
TYPE OF WORK 0 New Construction OOeck OPorch ORe-Roofing
DAddltlOn DAlteration o Utility ConnectIon
(Phone) ~3 7 -)209
(Phone) /6 (Z. ~ --80, Y <!
S_5"tl4-- 7
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L,p, c..
CODE: OLR.C. OLB.C. o Mise.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
~Re-Siding OLower Level Finish 0 Fireplace
t.J~.~ evJJ
PROJECT COST/VALUE Sl..B.; 41aO. ad
(excluding land)
I hereby certify that I have furlllshed mforJ1latHln lln thiS apphcatlOn which IS to the best III my knowledge true and correct. I also certlly that I am the owner or authollzed agent hJr the
,lbllve-mentlOned . perry an th.ft all e nstructlon will c form to allexIstmg state and IDcallaws and will proceed in accordance with submItted plans I am aware that the buildmg
ntficial can n.'Vl l' . IS per or 1 ISC ~urthcrmo , hereby agree that the CIty official or a deSIgnee may enter upon the prope11y to pcrt(1rm needed inspections
X ;U :2.0{, 2 ~ ~O 7 rk-~r
Signa Contractor's icense No. ( Date
,
Sewer/Water Connection Fee
# $
# $
$
$
# $
# $
$
$
$ 1b.-
Permit Valuation -Z >:c.QO,
Permit Fee $ '4. 7 C)
Plan Check Fee $
State Surcharge $ \..~
Penalty $
Plumbing Permit Fee $
Mechamcal Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee '" $
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
.
/) I' /1/_
Tlift 00 00' .oildiog P'~'h:Z;d
Blnltlne' III~ ~ ()atd
--
Paid
Date
i (,<> _ -.-
4!~
Receipt No. t;'2..C/"J..q
By fliJ/t- ,-' ,
ThIS IS to certify that the request m the above applicatIOn Jnd accompanymg documents IS m accordance with the City Zuning Ordinance and milY pruCl:cd as requested ThiS document
\vhcn signed by the City Planner ClH1StltutcS a tcmporary CertIficate of ZOllIng compliance and allo\\'s construction to cnmmcnce Before occupancy, a Certificate of Occupancy must be
issllcd
Planning Director
Date
24 hOllr notice for all inspections (952) ~~7.9850, fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any