HomeMy WebLinkAboutBUILDING 08-0247
CITY OF PRIOR LAKE
INSPECTION NOTICE
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SCHEDULED S II~f / /JO
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TIME
ADDRESS 54 O~
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o JNSU~ION \'
~FINAL fDo\
o SITE I SPECTION
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 GAS LINE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COR~E roe...' CALL FOR REINSPECTION BEFORE COVERING
Inspect: II / Owner/Contr:
C/1\. 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
(Please type or print and siJ1;n at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
[;403
CA-~(t.'1\6t Hills iLd It/e
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
OWNER..-.-
(Name) J (;,) Y'-1
.
ADDITION
ScAlA -h
(Address) 5 y <..J3>
CJ'1i'1~lA-f. r';- Jf, II)
BUILDER
(Company Name)
(Contact Name)
2eYv J i1-f
b~
!7{.j'J \ flS~
\LJ.. s ~
/
TYPE OF WORK 0 New Construction ODeck OPorch Me-Roofing
DAdditlon DAlteratlOn DUtility Con~~
(Address)
CODE: iJr,R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
e:-x:rc.)tt v,~
fA s
V>O\ vv\
I
E
II
F
I
III
H
2
IV V
I M
3 4
Date Rec' d
I White
Pink
Yellov.,'
File
City
Applicant
PERMIT NO.t>B - Z 4-7
ZONING (office lIse)
J),llu~ ~/U
WI,..}
PID
(Phone)
f&(
f\/C:-
YK.-tCl /L IA-,,-
(Phone) qSL-J-.J--l.:J -II ~ I
(Phone)'1\L- :}-;:rb ... J. n I
W-(\J1t lA-14
ORe-Siding OLower Level Finish 0 Fireplace
o Misc.
A
R
5
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby ccrt that 1 have furOlshed Information nn this applicatIon which IS to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent ft)l" the
above-ment 0 'd property and that all wnstnrction WIll confnrm to all eXIsting state and Jocallaws and wrll proceed In accnrdance with submitted plans I am aware that the bUlldrng
~ticiaJ can o~m/G~lIrthermme. I hereby agree that the City official or a desrgne/ast~ u~he property to pertllfm neCd~~'; d ;?
'----" , Signature Contractor's License No. Date
, /
I /
pI, rion lI<oom.. ~nn' ."Hdin, P'? T11~;
Date!
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
2-~ c.?~. - I
l4.l~ I
I
I
I
I
I
I
i
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$ (0--
ReceiPt~8
By f .
I~ ~~
)
Water Meter Size 5/8", I",
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
-1 '"' ~ --
~ia (CJe>
, f '
ThIS IS to certlty that th~st in the a~ 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 cnnstltutcs a tL'mpnrary Certificate of Zonmg compliance and allows cunstruction to commence Bcfufe llCCUpat1cy, a CertlticatL' llf Occupancy must he
issued
Planning Director
Date
24 hOllr notice for all inspections (952) ~~7-98511, fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any