HomeMy WebLinkAboutBuilding Permit 08-0289
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
:2.1.JnCf
I I
ADDRESS ~ 1\4 f"tllrV,'e&.l e~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.)lL..FINAL
o SITE INSPECTION
COMMENTS:
0.
L//I("'p
\,V' -
CONTR.
PERMIT NO.
$? - 2~ q
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
o GASLlNE AIR TST
o
t t/V'l \
1/\ ") (I
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v
,)~ r~J.J1.
~
, -
IJ~U!t~
f WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRETf2RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL ~ -9Jo FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'1J
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5.3"1,0%
White
Pink
Yellow
File
City
Applicant
-
PERMIT NO. 0 r. 0 Z,[; ~
I
ZONING (office use)
(Please type or print and sign at bottom)
ADDRESS
3//4
,.-
J-A J J... V(/_J 0
f-:J.
s/~~
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER / I ,
(Name) V<-/ltyl\.Y.
(Address) ~€ J4.,,,
;tt6J~
~
(Phone) %a. - l.jy 7 - 3073
i BUILDER ~ .. <
. (Company Nametr/,!.Jr CJlOIC.J,LlIrJfIdJ
(Contact Name) -..13 C) ~ t!It / J ..> r ; ~...v -
(Address) /;J..;;l 'I> ~ ,tt/it.-1' ~1./6S.(/~!fplL.v '> j) {i/~
(Phone) ~ -::l '?:J- - G' ~ / 9
(Phone) ~<;IfhvrE
KifW ~-377
TYPE OF WORK 0 New Construction ODeck OPorch ~-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility ConnectIon
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
o M ISC.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$-J~&/). <~
I I hereby ccrtifY that l have turmshed mformation on this applicatIOn which IS to the hest of my knowledge true and correct. I also certIfy that I am the owner or authOrized agent for the
i abllve-menllllned property and that all cllnSlructilln WIll Cl1nt'Jrm to all eXlStmg state and local laws and will proceed m accordance with submllted plans I am aware Ihallhe blllldmg
~tan n'vot\:c l
(......1 v
I
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
~_).Zr:ermo: hereby agree that the CIty O:?;l; ~e~gnee m~nter upon: propclty to pert(Jrm needed;~~ -~8
_Signature \ Contractor's Licen No., Date J
., ---- ----
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I", $
Pressure Reducer $
Sewer/Water Connection Fee # $
$
$
$
$ 7(P
$
$
$
$
Penalty
Plumbing Permit Fee
Mechal11cal Permit Fee
Sewer & Water Permit Fee
$
$
$
$
Water Tower Fee
#
Builder's Deposit
Other
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
_ J
/f./J - _ J
~.;)-7_dY
()
R~eipt No_
If 1-- .
o
~777
Buildlllg UrtlClal
Date
ThIS IS to certify that the request 10 the above applicatlon and accompanymg documents is 1Il accordance with the City Zoning Ordinance and may proceed ilS requested ThiS document
when signed by the City Planner constitutes a temporary Certiticale of ZOl1lng compliance and allows construction to commence Before occupancy, a CertIficate of Occupancy musl be
IsslIcd
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