HomeMy WebLinkAboutBuilding 08-0387
DATE TIME
CITY OF PRIOR LAKE 7'-/4~
INSPECTION NOTICE SCHEDULED
ADDRESS 30tG I/KW"~
OWNER CONTR.
PHONE NO. PERMIT NO. Y3?7
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDA liON o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: YZfl)~
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EfWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT Wf~K, C~L FOR REINSPECTION BEFORE COVERING
Inspector: lIW Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO. 08 -- 3&-7
(Please type or print and siJ!;n at bottom)
ADDRESS rJ
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/
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
11 (' c it:.. I) c-
U; cJ C ~ ~1- (r'{'( 1<-
~~~~: Name) '> .pi, >'11:>0/\ .I If ~( !.r J fo/J s+.
(Contact Nrne) I-/~tc- )f~;/~J
(Address) ( )~ ,'-+~ J D h J ~ 1'$ /..
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tJr;- !\ '"
3!)Y 6
,
,
,
f
fp" j~;nAc, A~t/' (Phone) (c;s: 2) !)q n - '!tJs 7
tL/ jlj~ /r-312-
(Phone) (9$>> lf5/-/2DO
(PhOne)(t:/2) iff /-C82/
1Jt/'",~ ~,llc/ /JAI ['J 537
. / .
L--f.
(Address)
~-1+ie;-
,
TYPE OF WORK 0 New Construction ODeck OPorch MRe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtiJity ConnectIOn
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Mise
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)
$
Signature
, applicatIOn which IS to the best of my knowledge truc and correct. I also certify that I am the owner or authOrIzed agent for the
I conti,rm to all eXisting state and Incallaws and Will proceed in accordance With submitted plans I am aware that the blllldlng
re, I hereby agree that the Dty official or a deSignee may enter upon the propeJ1y to pert()rm needed InSpectIons
Pm) tf~ t,
Contractor's License No. Date
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$
2~b Ot:) Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ / (, OCT
--. .,.--
oved Paid %~ / Re~No. 5(,(jCfy
Date /" 1/,.,.1 r;g By '-J
I - - I
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Gas Fi~e PermIt Fee
~
's 11 c n Becomes
l3u II d IIH! 1>.
Ii
ThiS IS to certify th;1 the request In the above application and accompanymg documents is 1Il accordance With the City Zoning Ordinance and may procecd as requested ThiS document
\\'hcn signed by the CIty PLlnnl'l ClHlStltlltcs a tempurary Certificate of Zonmg compliance and alluws construction to commence Before occupancy, .1 Certlticatc [)f Occupancy must be
issued
Planning Director
Date
24 holtI' notice for all inspections (952) 447-98511, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any