HomeMy WebLinkAboutBUILDING 08-0239
DATE TIME
CITY OF PRIOR LAKE YCf-CJtJ
INSPECTION NOTICE SCHEDULED
ADDRESS '~ (f t/lLwfy) c1 f)-
OWNER CONTR.
PHONE NO. PERMIT NO. X',231
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ~
v
..-----------------
~. -------
/' / / fl. ,
/ ///_~ hi
I (/l U d"L l" \JI
I
\
'--
"\
/J
~~
------
,P.WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PRO~ED
o CORRECT WORK, CALL Fmf REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White File
2. Pink City
3. Yellow Applicant
(please type or print and sip at L " ."".)
ADDRESS
LfJr~Cf ~rr'("4J-::;t>
~e,
~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDmON
OWNER
(Name)
Date Rec' d
I PERMIT NO. 08.06391
/
ZONING (office~)
P,.,,.,,
~
Pill
C t" rCorq./)
tkrrtVt"'--t Pr'~
{pfL
(phone) Z€:tf !f;S0
~~ P,I'Ifr / ~
au,,,,}
,.
l-f ro l?9
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
l op,~iJE " ....j.,.. r .
~~~/
le>/~~ /'Y2Qr6~A/ I"",~
c.,l,-
(phone) <Kbq //-,-"7
., ,. ,
(phone)lK' /~9 ~/
&pr~,...~ r~~/~
TYPE OF WORK 0 New Construction ODeck OPorch _e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc:
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE $
(excluding land)
7.~D1I
I hereby certilY thar I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and that all 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 this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
$'2-7(P
Contractor's License No.
I
E
n
F
1
x
~ 5~ture .,
P/"Y"S"fl) o.Jt
, I~"".~ ~
I .
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
Park Support Fee
SAC
WaterMeter SizeS/S"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid 'iC; ~vV _
I Date S. Z ()b
This Application Becomes Your Building Permit When Approved
Building Official
Date
5-7-5?
Date
# $
# $
$
$
# $
# $
$
$
/).$ 7&.(/U
1/
Rec~t No. .5572. z..
B;1"
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