HomeMy WebLinkAboutBuilding Permit 08-0762
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I LfLI h '--I
D ~ d c;.,(.-
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
)121~~
TIME
6 -7fR--L
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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}!1. WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORtJEC WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspect r: n Owner/Contr:
CA ~;l91s) FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. PinL
3. YcIlO\\
File
Cit'
Applicant
(Please ~t"'. or print and sian at bottom)
ADDRESS
\ L{ YL5'1 ~ (f. n \ t .
LEGAL DESClUr uON (office use only)
LOT
BLOCK
ADDmON
M(u~/ ~t+f1 J .
I YL1Sv\ ~ ct. ~,~
BUILDER I \ Il . J ()
(Company Name) ~ r O~
(Contact Name)1[)('u!- S(1M1-v
(Address) L..;'1/S ~ y, c0.
OWNER
(Name)
(phone)
(Address)
(phone)
(phone)
51:U{~jLIJvU'\ l ~~~G,
I PERMIT NO. oe. 07(.-4
ZONING (office use)
Pill
l 0 (7~"~?<;-S2;W
TYPE OF WORK 0 New Construction ODeck OPorch ~Roofmg ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc:
I
E
II
F
1
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST/VALUE $
(excluding land)
--1 tJ1jD. CD
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 ronslruction will ronform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
, o~~~rA~:ennore. I hereby a~ee that the ci~ 07~a (;gn~.~S~ the property to pcrronn neeq 718070 8
11: / 0 if \ Signature ......... Contractor's License No. Date
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
1 Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
I Park Support Fee
I SAC
I WaterMeter Size5/S"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
I Date
..A
IU ~
q. z,'L.'Y
Building Official
Date
# $
# $
$
$
# $
# $
$
$ 1....--1
$ 1V2~ I
n __
Rec<1iPt No. ~'Lr Jr'f'1P
By I,
(;
This is to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may ...._~_d as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and anows construction to commence. Before oceupancy. a Certificate of Oceupancy must be
issued.
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake. Minnesota 55372
Special Conditioos. if any