HomeMy WebLinkAboutBuilding Permit 08-1004
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 425.S Q l'e.-t\A-~ ~
- -
~~~ CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FiNAL
/O'StTE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
I I \1, 0,
\.__18~_ ~ h. Y
DATE TIME
12/ Z'1/oP7
08 - tt1)~
I
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)<' WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREtt#:. CALL FOR REINSPECTION BEFORE COVERING
Ioopedo" (f I -; Ownec/Co,'c
CALL 44" FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/2- .i2 .oj
(Please type or print and si~n at bottom)
ADDRESS
L{-~S3 ~~1
~~, Nt
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
StiA ,. I
1/1//1"6. &t; V
I
(Address)
BUILDER
(Company Name)
White
Pink
Yellow
File
City
Applicant
(Phone)
PERMIT NO. y, /004+
ZONING (office use)
PID
(Phone) 10\.;).. ~ t).. s:t, \
(Phone)
h'I\~ q,\t1
~s
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAddition OAlteration OUtility ConnectIon
(Address)
S~
CODE: OI.R.C. OI.B.C,
Type of Construction:
Occupancy Group: A B
Division:
IV V
I M
3 4
A
R
5
I
E
II
F
I
III
H
2
ORe-Siding OLower Level Finish 0 Fireplace
o Misc.
B
S U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certifY that I have hlrOlshcd mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner Of authOrIzed agent for the
above-mentIOned pr an Cllnstructwn will conform to all existmg statc and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
\l1f1cial can revo thIS per ust cat e Furthermore, I hereby agree that the CIty o1f1cial or a deSIgnee may enter upon the propelty to perform needed mspecl1\lns
\o<sCM B ):lol D~
Dale
x
Permit Valuation I
Permit Fee $ 2~_ UD1
Plan Check Fee $ 1(,. zs-1
State Surcharge $ .s-a I
Penalty $ 1
Plumbing Permit Fee $ 1
Mechanical Permit Fee $ I
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $ 1
This Application Becomes Your Building Permit When Approved
Bl1ildlll~ Olflcial
Date
Contractor's License No.
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
SewerlWater Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
crt. 7f /
ll,fl,c-V
(J
# $
# $
$
$
# $
# $
$
$
~ I $
+1- 7~Z:;-,
57 / (;.j~ 1
I
;
,If, ,
Rec~ FIef,
By/jUJA,
{;
ThiS IS to certify that Ihe request m the abLlve applicatIOn and accompanYing dLlcuments IS m accordance With the City ZLlning Ordinance and may proceed as requested. ThiS document
when signed by the CIty Planner constItutes a temporary CertIficate of Zonmg complIance and allows CLlnstructlOn to commence. Before Llccupancy, a CertIficate of Occupancy must be
issucd
Planning Director
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