HomeMy WebLinkAboutBUILDING 08-0912
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
)ATE I
\\ le'~ ie :~.
I
LA~ tfL
TIME
(CoIl '3 b~M\
CONTR.
PERMIT NO.
~.. '1'(2 +S15
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 GASLlNE AIR TST
o MECH FINAL 0
~t~,~c...::>-+ ~ t=l~
H"~
~~ +==r t...6-
Il WORK SATISFACTORY, PROCEED
o CORRECT AC;Z ~J ~ROCEED
o CORRECT WO~ C ~OR 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!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/0. z'f;()8
1. White File I PERMIT NO
~. ~~~I~w ~~~icanl . 06.oQ/2-
(Please tvQe or print and si&n at bottom)
ADDRESS '.
I U 773 B II ~lC~/ 1 (i/lt 71~Ct;' /
jr) () r ! (',I J/ ( ~')-S 5' 7c:)
ZONING (office use)
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
pm
OWNER 0J ' ..
(Name) JI file
(Address) \ VI 7 7 ~:)
q/lhM' ./
' 1.' }G
l3J,-nc}
(./5- -., --:7 ,'.
. (Phone) f .::: ~ / {J' / J 2 5
L(JtK,( 'lrc~i1, pj--/ortdt)/C (YI(V 55372
I ,
BUILDER ~/-v\ v 1/ ('. ' I .
(Company Name) II r IL. y/ L tinl.d r?..,(j..,./IJn
(Contact N ame) 70/))/ / 'CL / rJ S <; ;" n t:/
(Address) q 55S ('\ a fV\, e) /4' L^-I V} LJ ( '3":
TYPE OF WORK 0 New Construction oDeck o Porch Jl;;tRe-Roofmg
OAddition OAlteration OUtility Connecdo~
CODE: r;S4..R,C. DI.B.c. 0 Misc:
Type of c1;'~tn1ction: I II ill IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
I hereby certifY that 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
:- =_.. ""~':fC: _,_lh_""" ."", d, '-~O/(:' ~;~ ~ 'Q"'. -~ 7;~; 7 //J g
ce"Sl~1ure Contractor's License No. :;; Date
I ParkSupport Fee- # I $
I SAC # I $
I Water Meter Size 5/8"; 1 "; I $
I Pressure Reducer I $
I Sewer/Water Connection Fee # I $
I Water Tower Fee # I $
I Builder's Deposit I $
I Other I $
I TOTALDUE II 1$ 7(,. () d
I /
Ret,tIpt No. ;;z, ~ 7.s-
By (
G
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
(Phone) 952. &fR' /20()
(Phone) 952. 25:5' ///;/)\
/!)/O()/Y1/(}~ ldn I /Yll7J S5'L/~ /
'J; .
ORe-Siding DLower Level Finish
o Fireplace
PROJECT COST IV ALUE $
(excluding land)
/t/ 0/9
/
$
1$
I $
1$
1$
I $
1$
I $
This Application Becomes Your Building Permit When Approved
Building Official
Paid
Date
7(,.00
/0 ..30~ Of:)
Date
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 Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372