HomeMy WebLinkAboutBuilding Permit 08-0391
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I&~'Z ( -
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
[]).N~ULATION
~AL
. 0 SITE INSPECTION
COMMENTS:
rV
DATE TIME
SCHEDULED l:zll~//~
(J):\lI)0 L~
CONTR.
PERMIT NO,
B - UiIJiR 3'1 (
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
XG~~~ST
~
1'\, ,f\ \/
U l~ --+-Vt ,-: l f\
- - ..-
)( WORK SATISFACTORY, PROCEED
o CORR~CT ~ON AND PROCEED
o CORR ~ 11 CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'I) Owner/Contr:
CAL~ 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 CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
'lo~ ~~
\.N .\ \. h~
L~
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
~ '\. " "'-
n- ..... L n-.. '. \ '\. <-.....
(Address)
\ le,s,~g,
\.N ',~, 0..,.,) \.- ~
BUILDER
(Company Name)
(Contact Name)
Ik':::.~"'-\.
v-J~~ ~ ~:~r
(Address)
A~_
, \0 '35
D \,.... "\-- ~b. " t....
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO. G!
0- ~ (
ZONING (office use)
PID
(Phone)
9s)... - ~'-\~-~7 ~
~.
(Phone) l&. S , - l.t...l1 - (., .g,3S
(Phone)
5<;> - ?~ /"'1--.,... J JI, f
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ~e-Siding OLower Level Finish 0 Fireplace
DAdditton OAlteration o Utility ConnectIOn
I hereby certify that I have hlrnished mformation on this application which is to the hest of my knowledge truc and COlTcct_ I also certify that I am the owner llr authOrIzed agent for the
.1bl1ve-mentlllned property and that all nmstructllln will conform to all extstmg state and local laws and wtll proceed in accordance with submitted plans 1 am aware that the bulldmg
official can revoke thIS permit for Just cause Furthermore, I hereby agree that the Dry official O[ a deSIgnee may enter upon the propelty to perform needed mspcctlllI1S
~
CODE: OI.R.C. OI.B.C.
Type of Constnlction:
Occupancy Group: A B
Division:
III
H
2
IV V
I M
3 4
A
R
5
I
E
II
F
I
x
~~
Signature
Permit Valuation
;J. .:5 00 . 0 Co' I
I
I
I
I
I
I
I
Permit Fee
$
$
$
$
$
$
$
$
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
o Mise.
B
S
U
PROJECT COST IV ALUE
(excluding land)
$
} , S' IS'\) . \S\.J
Co '\-:5 ~
(.,.'<b-~ 1's'J ~
Contractor's License No
Date
Park Support Fee
$
$
$
$
$
$
$
$
$
7t, ':E
SAC
#
#
Water Meter Size 5/8"; I";
Pressure Reducer
SewerlWater Connection Fec
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date ({/~ (nf
Receipt~o. 5{P(") 5" q
By (jp
,
I'hlS lS to certify that the request in the above applicatiOn and accompanymg documents is 10 accordance with the City Zoning Ordinance and may pn)cced as requested ThiS document
when signed by the City PlannCf ClmStItlltes a temporary Certificate of Zonmg compliance and allows construction fl) commence Before occupancy, i1 Lnuticate (}f Occupancy must be
l.sstlcd
Planning Director
Dale
24 hour notice for all inspections (952) ~~7-985(), fax (952) ~~7-~2~5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any