HomeMy WebLinkAboutBUILDING 05-1108
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/7<3'.2/ (%/;
/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR 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
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERunCATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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~~~;~ Name' "- ()bJ If WajJtfS 6-nslru Dhrm .Inc. (Phone)
(Contact Name) ,S/J/)1ji) Ja...J Ie.. rs (Phone)
(Address) 11'?~ f &u--nell /JvrL /Jr. ~nw(/~~
(Please tY1lC 01' print and silD at bottom)
ADDRESS
JL/-.3.?1 s~4
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(Address)
I '-/- 3/~ /
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I. White File
2 Pink Coy
J Yellow Applicom
I PERMITNO.D5~II081
N~
ZONING (office use)
t!. J JO
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PID :J5-- 0 l/17-0/3-()
(Phone) q!J J.- 49 C, 30/0
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NC
9~d- R1~ /S33
9~d- f(q.;L I.t:; ~ 3
mAl 5'::>30&
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Fimsh 0 Fil'eP.lace '" --, 'I tJl'l~
o Addition OAlteration OUtiJity Connection JaMisc. JAJ mti,,#() r(jJ Itf<<-m&1I-..ln~*lla IJp/'? {Jr- ,.,ei-V '
. A{f hi~#''SIU5 tJ/i If ~ 02}CfO'.S d/"Khkd. a ~ 1
CODE: OI.R.C. OLB.C. PROJECTCOST/VALUE S -/&&0, lJU
Type of Coastruction: I n m IV V A B (excluding land) ,
Occupancy Group. A B E F HIM R S U
, Diyision: I Z 3 4 5
I hereby certify thaI I have furnished information on Ihis application which is to tbe best of my knowledge true and CCJITrCl. J also certify thaI I am the owncr or authootcd agcm for the
above-mentIoned ~."~ ,..j and that aU construction will conform to all existing state and localla.n and will r" . ,,_ J in accordance with submitted plans I am aware lhat the building
oftkial can revoke this permit fs:r Just cause. Furthermore, I hereby agree tllat the dry official or a designee may enll'f upon Ihe ,"'r'''; to y";;,,, ,-, needed Inspections.
X ~ J11/k~ c2.03 r;~R'1& //-t/-lJS
SigJllltuR: Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit ]:"ee
Gas Fireplace Permit Fee
S
$
1$
S
$
$
1$
1$
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L.-
7tf-7tJ
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Building Otliciul ' , Dale'
I Park Support Fee
SAC
s
S
$
S
Is
$
S
S
"
s 7~,-
I ~q No. . '., ()~ 0.3
1:1 '\
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
SewerIWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
I TOTAL DUE
#
#
I Paid
I Date
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ThIS IS to certify that the tequest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requl'5tcd This document
when signed by the City Planner constitutes a t'-'r .._,' Certificate of Zoning compliance and aUows construction to commence. Before occupancy, a Certificate ,)f Occupancy must be
issued
PiaDDing Director
Date Special COIICIitions. if any
24 h011' notitt for all inspections (952) 447-9858. fax (951) 447-424~
16200 Eagle Creek Avenue Prior Lake, MN 55372