HomeMy WebLinkAboutBuilding Permit 08-0217
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I L/ (,').8
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
~ ~~NAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~ 0'1
73rr-Ji t~fL
()
CONTR.
PERMIT NO. B -- 741 2 t 7
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
r-. ~ )/1 f'
Gl~~
Af" Reo~ ~L(
- ,
1 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'''"",,"OtJt; QwnellContc .
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~/ob
(Please type or print and si~n at bottom)
ADDRESS
] White
Pink
Yellmv
File
City
Applicant
PERMIT NO'Ot? . OZIJ.'
ZONING (office use)
,'+&26
{J/U066
/U D (rlS. e;;;-.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
i BUILDER
(Company Name)
(Contact Name)
/3. .b
l~~o/"S ~ '4-,lr~-I ~~
h(('5 r C'II"~,, ~Jl,It/~.r).
a,.H ~'A-;J
(Address)
,-~
~u'~#511,11_
(Phone) 1'~~- X'() ~- 1 c.iOt>
(Phone) t:;~:;J. - ~.,.~ - t> ~I 9
5"sr-, ~ 7
TYPE OF WORK 0 New Construction ODeck OPorch \zfRe-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAddltlOn DAlteration o Utility Conne~n
CODE: OLR.C. OLB.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
F
1
III IV V
HIM
2 3 4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
i I hereby certify that I have nlrmshcd mformatwn on this application which IS to the best of my knowledge true and COlTect. I also certify that I am the owner or <luthof!zed agent for the
I abllve-mentwned property and that all nmstructwn Will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the blllldmg
I"~C.'~ ""3e tlm permit f Furthermore. I hereby agree that the City official or a deSignee may enter upon the propelty to pert(lfm I~:d ;:;:5
I~ Contractor's License No.
Date
Permit Valuation
Park Support Fee
#
$
$
$
$
$
$
$
$
/')1 $ 7~.UU
Rec4ipt/No. --5!i7 O~.
By I '
r-
ThiS IS to certlty that the request in the above applicatwn and accompanymg documents is m accordance with the City Zoning Ordinance and may procecd as requested. ThIS document
when signed by the City Planner constItutes a temporaIY Certificate of ZOI1mg compliance and allows constructwn to commence Before occupancy, a Certificate l}f Occllpancy must be
i.sslled
Permit Fee
$
$
$
$
$
$
$
$
SAC
#
Plan Check Fee
Water Meter
Size 5/8"; I";
State Surcharge
Pressure Reducer
Penalty
Sewer/Water Connection Fee
#
Plumbing Permit Fee
Water Tower Fee
#
Mechanical Permit Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permil Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
"'--)'.f.;; _ <.r V/,
S--, I, </(
Iluildlll!! Unicial
Date
Planning Director
Date
24 hour notice for all inspections (952) 447-91150, fax (952) 447.4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any