HomeMy WebLinkAboutBLDG 08-0690
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
46l()
J~kSbV1-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J2f1=INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOO P
o PLUM FINAL
() 0 MEC FINAL
If () In /7
'fI -- ---.
COMMENTS:
. , ('.. /'(' I
C~~::-e~~ ~l~
Nu ia,~ ~~
DATE
'lll~1C8
7F,
u
TIME
8 -c, 171
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~~
) WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~, CALL FOR REINSPECTION BEFORE COVERING
Inspector 10 / ~ Owner/Contr:
) v .,,--"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
1/'ISNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/)4<149
Date Rec' d
rz...o/
(Please type or print and si~n at bottom)
ADDRESS
LJSlb ,JAe-KS6n TeAlL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
ROBEt<.-\
()S\l\1 EK
(Address)
i BUILDER I \
(Company Name) WEAntf.-lLbl)..f!.:rc..O
kA~€tJ
(Address) 5(041 \vl E MU~-I A-L- ftv€..
I White
Pink
Yell(m
File
City
Applicant
PERMIT NO. 6' - ~ 90
ZONING (office use)
i'JE.
PID
(Phone) Qsa -d-~o-r~57
I (Contact Name)
Cbr\s Ti'<.. l.'L-fl Dl'"\
(PS-1-43Q -Y3J.O
(Phone)
(Phone)
N. I'-\.
N. SnLLl-,v~,
550'&J.
TYPE OF WORK 0 New Construction ODeck OPorch rKRe-Roofing ORe-Siding OLower Level Finish 0 FIreplace
OAdditIon ~lteration OUtility ConnectIon
CODE: OI.R.C. OI.B.C. o Mise
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $ GiaO~
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5 (excluding land) ?H SG(
I hereby certify that I hJVC furnished mformation on this applicatIon which is to the best of my knowledge true and correct. 1 also ccrtlfy that I am the owner or authOrIzed agent for the
above-mentlllned pwperty and that alleonstrllctlOn wIll Cllnform to all eXlstmg state and local laws and will pruceed in accordance with SlIbmlltcd plans I am aware that the bUlldmg
ntficial can revoke thiS permIt t()J- JlIst cause Furthermore, I hereby agree that the City official or a deSignee may enter upon the propt'11y to perform needed InSpectIOns
'M c:~ a 0 ~^ '-1S a l\ ~Lf ((;!(} r/ D8
x
Signature
Permit Valuation
Permit Fee
$
$
$
$
$
$
i $
I $
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechamcal Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
Illlildlllg Ufficlal
Date
l
I
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
I Water Tower Fee # $
I Builder's Deposit $
I Other $
Il _.
I TOTAL DUE $ /'.
I Paid!';..",,-- -- l~
/ j Pot ipt No. s;lp"J7J-
I Date ~ 'Z.-.. CI.f' I~
r
ThiS IS to certify that the request in the above applicatIOn and accompanYlllg documents is 111 accordance with the City Zoning Ordinance and may proceed as requested ThiS document
v.'hcn signed hy the City Planner constitutes a temporary CertIficate of Zonlllg compliance and allows constructIOn to commence Before occupancy, a Certlticatl' ()r Occupancy must be
isslled
Planning Director
Date
24 hOllr notice for all inspections (952) ....7-9850, fax (952) ....7-..2..5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any