HomeMy WebLinkAboutBuilding 08-0522
PHONE NO.
, DATE
SCHEDULED ~
15239 WILDS PKWYNW
TOM NGUYEN
Re-Side
BUILDING PERMIT #08-0522
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
o PLUMl:SlNb KI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
..... ~~_.<AD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
Ci:;;{)5 E. --, 1 j~
F/-b6
~ORK SATISFACTORY, PROCEED
o CORRECT~ION AND PROCEED
o CORREC. K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: f ~ Owner/Contr: .
CALL )i{;S50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
~w"'/
,
f3 --50..2-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS . I S;:l"3-. q
witLs
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:
DATE TIME
7~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
)l Gt~ TST
I, ~~be<.
I
. -V. 'cte 6"~
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,
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54V- /~ti
~
~RK SAT!SFACTORY, PROCEED
~ORRfjEN AND PROCEED
o CORRE T K. C LL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
CAL~S50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siJ1;n at bottom)
ADDRESS
w\ J~
PlLw \J
,
pt.ro-r- l~ }.AN
s-r.; 7 ~
16~3q
,
fJ v.J
LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(N ame)
'---
)om
jNq\A~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
Date Rec' d
1 zl 08
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 08.0522-
PID
ZONING (office use)
(Phone) (qS-.2.) ~~ ~. --44-81
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch o Re-Roofmg ORe-Siding OLower Level Finish 0 Fireplace
OAddition DAlteration DUtility ConnectIOn
CODE: DI.R.C. DI.B.c. o Mise.
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certify that I have hlrmshed mformatlOn 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-menuoned 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
:tiCla~ pel mlt for Just ~ause F~ heleby agree that the City offiCial or a deSignee may enter upon the plOpeny to pel torm ne; ~3% $/
~ Contractor's License No I r6ate
'"
Permit Valuation
S(J C). 00
$ zG: 0 0
$ /&. l ~
$ .5-0
$
$
$
$
$
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
13uildlng Official
Date
Il
I /
Rqc~pt No. 5W7Q
BY . .
--
(
Park Support Fee
SAC
#
#
$
$
$
$
$
$
$
$
$
4- /. 7--."5
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
#
#
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
isslIed
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
-4-/, 7,;)
-;, Z-~" 08
I
Planning Direclor
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