HomeMy WebLinkAboutBuilding Permit 07-1124
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
L '7 LQ'2-
&1/11 ~.rn.< ), "
OWNER
CONTR.
DATE TIME
I L-/~-d7
n-
PHONE NO.
PERMIT NO.
7-II~LI
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEC~
;0
COMMENTS:
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO NSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
D!\t~ llM? d
CITV OW PIUOD LAKE DUILDINC PEDMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
l)) ~ \ c\ e.f'^-c. ~ ~
I. l. 0 2-
l... c....\'(. c....
I White
Pink
Yellow
I PERMIT NO.
7- 112-'--)
,
ZONING (office use)
File
City
Applicant
'-f...\-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER"f)
(Name) O~~ ..
l.:,t~^cl~
(Phone) (0\1.- COo2..- Q4/Z""
s.~ Co
(Address)
~ ~~c...
i BUILDER ~
I (Company Name) ~~ 6 'f-~<. r (~ R... ~
i (Contact Name) ~e..-\\- ~\.~\~c)-,-
I (Address) 5'8 ~ ~lQ.c...):.~L...I.'tQ.. .p.(..l...
\~~.
- ,
(Phone) (p~- (- Cc,! Q. - <0 310 ~
(Phone) \0(1..- 'Le:::.S - e<jSq2...
M.N SSclb
TYPE OF WORK 0 New Construction ODeck OPorch e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddit!On OAlteration DUtility ConnectIOn
CODE: DI.R.c. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III
H
2
IV V
I M
3 4
DMisc
$ _9 to. cJC ~
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
Will conform to all CXIstmg state and local laws and will proceed in accmdance with submitted plans I am aware that the bulldmg
'more, I hereby agree that the CIty official or <1 desIgnee may enter upon the propel1y to pert()rm needed mspect1<lns
l..V.s-S'32. (~ _~
Contractor's License No, Date
x
Permit Valuation
Permit Fee $ /C~
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
es Your Building Permit When Approved
I (-lo"07
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit I $
Other $
TOTAL DUE $ 76 t&-
Paid
Date
1,r.ov
(,i-U (.17
~-<;-o ",.. 0
, ~
Receipt No.
By
ThiS IS to certify that the request In the above applicatIOn and accompanYlllg documents is In accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signcd by thc City Planner constItutes a temporary CertIficatc of Zonmg comphance and allows constructIon to commence Beflll"c occupancy, a CertIficate of Occupancy must be
Isslled
Planning Director
Special Conditions, if any
Date
24 hour notice for all iuspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372