HomeMy WebLinkAboutBuilding Permit 08-0412
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 511 3
M,1~kt- ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J5 FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~f) rtlnC
COMMENTS:
A I 10
~\t)4/, 11'110 ,
vv -
"l..,
" \ rl
'1'
DATE TIME
~/hr
08-0+1'2-
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
tJ" tJ Ik~~
. {
~ WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORR~:K. CALL FOR REINSPECTION BEFORE COVERING
I nspectorl1l,Lr ) Owner/Contr: .
CALL iA7~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File I PERMIT NO f\ A_ I
2. Pink City . O~. <.,Y'r /2_
] Yellow Applicant O.
(Please type or print and sign at bottom)
ADDRESS , ZONING (office use)
5~ I ~ mill ers (jrCJ'L Sf:
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
PID
NoXhuj'\ n-wcb
5C11~ (flU IU5 C).,r(.!f
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
ADDITION
(Phone) qs~ .(~C]LI.7q..tf7
r-/
l)G
ftx 00 P I+rrv.f i CIA
00 'J...l ~ y ( { k.. ,,(~l\ (Phone) ill ;}~ (o9 ,L) - j<.../7..(/J
Jo1lJO 1~/e A-l)~.\ frdo'0lJ/ODfVlIYljfzJl?; /hAJ 651j()
TYPE OF WORK
o Misc.
(Phone) q,<:;;),' ffg-6(/t./D
o New Construction
DDeck o Porch ~e-Roofing o Re,Siding
o Fireplace OAddition OAlteration DUtility Connection
PROJECTCOST/VALUE (excluding land) $ q I)QD, {;()
OLower Level Finish
1 hereby certiIY that 1 have furnished information on this application which is to the best of my knowledge true and correct. I also certiIY that I am the owner or
authorized agent for the above.mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans, I am aware that the building official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
:nter upon therr[r;for( n;~d~;:~~>, (~O ILlt L/ /0 l.o'd S' Ox
USlgnature -(). Contractor's License No, Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$ -11(J. IX)
Receipt No.
By
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Building Official
Paid
Date
Date
This is to certify that the request in the above applicalion and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested, This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
d <3 oLf d..
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372