HomeMy WebLinkAboutBldg 02-1211 (1" lawn irrigation meter)
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
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ADDRESS
/7/55 PISf! PT ,eo.
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:
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o -I.A1v' Ai
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o WORK SATISFACTORY, PROCEED
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 & SAFETYI
lNSNOTl
I
I
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please type or print and sign at bottom)
ADDRESS
White File
Pink City
Yellow Applicant
PERMIT NO. 02r / Zl /
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Po;,..l
ZONING (office use)
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<<- .~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) 1) '~
(Contact Name) M \ \t...(
(Address) L-0~) It LJ
\-L::.) r- ~ A l /) c -- M 1:1.'\ e ~C\..c1
L0u ~r1()v\-~
'c-(J\ b f', ~ t) {
C\.
(Phone)
(Phone)
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GeL ,--z,LL::. - 4'3&
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TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
DAlteration
~UtiIity Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 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.
X /}~ rJLv ...{ -- Cf- I ;)-() ~
Signature
Contractor's License No.
Date
I Permit Valuation I Park Support Fee # $
I Permit Fee $ I SAC # $
I Plan Check Fee I $ I Water Meter Size 5/8"; I"; lit $ 1-g5, ....
I State Surcharge I $ I Pressure Reducer $ IV //2-
I Penalty I $ I City SAC and WAC # $ I .
I Plumbing Permit Fee I $ I Water Tower Fee # $
I Mechanical Permit Fee I $ I Builder's Deposit $
Sewer & Water Permit Fee I $ lather $
Gas Fireplace Permit Fee I $ I TOTAL DUE $ 4G's:
A I /I
:tlifl:5ngpiJ;t"d Paid ""e5. 0 0 Rece;:f,o. 4-307;7
Date 4'-2';-'I;I?-- By
il 1(lfficial \:::. t Dale U
........
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.
ire9'~~
L1 .Iet. Da-
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372