HomeMy WebLinkAboutBUILDING 08-0575
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
")ATE I TIME
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ADDRESS
(CoIl '3 ~~M\
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~.. '1'(2 +S15
COMMENTS:
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
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H-~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
~~ +==r t...6-
Il.WORK SATISFACTORY, PROCEED
o CORRECT AC;Z ~J ~ROCEED
o CORRECT WO~ C ~OR REINSPECTION BEFORE COVERING
Inspector: ,j Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
LNSNOTl
(Please type or print and si~n at bottom)
ADDRESS
IL'-ll~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~. 5. Oe>
I White
Pink
Yellow
File
City
Applicant
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LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNERc' \
(Name) ..:::2-TeL.'e~\
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
~, (, c-ll VV1i (J
(Phone)
(Phone)
(Phone) _
TYPE OF WORK
- /
o New Construction ODeck OPorch ORe-Roofing 1'8[Re-Siding
OAddition OAlteration OUtility ConnectIOn / '\
o Mise.
CODE: ~I.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
PERMIT NO. 08.05'151
ZONING (office use)
PID
Qs:;)- 2Ic-lcZ-<;;
OLower Level Finish
o Fireplace
I
E
II
F
1
III
H
2
IV
I
3
V
M
4
A
R
5
PROJECT COST /V ALUE
(excluding land)
$
I hereby certlfy that I have furnIshed mformatlon lm this applicatIOn which IS to the best of my knowledge true and COITec\. I also certify that I am the owner or authOrIzed agent Illr the
above-mentwned property and that all CllnstructlOn WIll conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
otliClal C~rfV()ke tlm pelm.t for Just cau~' ,Fllltht''::Ole. I helcby agree that the City offiCial or a deSIgnee may enter upon the plOpelty to pel form neede~ msp~ct~ms
. +(\. ..C - \ ' ( \ (''.!' L-
X / ,) \.~ 1'\. / l A.J ' C",\ --YV\ \. ('\ (' r;.':J (: (j
\ Signature Contractor's Ltcense No 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
B
S U
$
$
$
$
$
$
I $
I $
Park Support Fee
SAC
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
7(P - J
X",S. (j r
Buildlllg Utliclal
Datc
# $
# $
$
$
# $
# $
$
$
/7 $ ~fp, ao
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~ceipt No. SG,S-Z-7
J' /
ThiS .S to certify that the request 10 the above applicatlon and accompanymg documents IS in accordance w.th the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner Cllnstltutes a temporary Certificate of ZOnIng compliance and allows CllnstrUCtlon to commence. Before occupancy. a Certificate llf Occupancy must be
Issued
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