HomeMy WebLinkAboutBUILDING 07-1046
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
53;!
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ULATION
~ ~~~AL
o SITE INSPECTION
COMMENTS:
-
~
/
(
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~
~
SCHEDULED
I fif ~ L-/~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
Oa;r
DATE TIME
G2-'-( ~ Or
'7-/(}L( t
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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#,WORK SATISFACTORY, PROCEED
:? 0 CORRECT ACTION AND ~ED
o CORRECT WORK, C~ ~ REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
j(), 70~ (,i 7
I White
Pink
'{ellow
File
City
Applicant
PERMIT NO, I. 104-0 \
(Please type or llrint and sie:n at bottom)
ADDRESS
33//
Vpt-Gl (V~;
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
I
J... A-t-S 0 ,./
ZONING (nmee use)
(Phone)
CJCJ- J;J(.. - .2 ~ q r
~/..2- ~ 3t- S-~7.l Ce/."/
a',-JA~I
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
/
TYPE OF WORK 0 New Construction ODeck OPorch Me-Roofmg ORe-Siding OLower Level Finish 0 FIreplace
OAdditlOn OAlteration DUtility Conn~
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Mise.
B
S U
A
R
5
IV V
I M
3 4
III
H
2
II
F
1
PROJECT COST IV ALUE
(excluding land)
I
E
$
I hereby eerlily that I have lurOlshl'd mlormalilln nn this applicatIOn which 15 tll the best llf my knllwledge true and wITecL I afsu certify that I am the llwner or authllllZe(j agent for the
abnve-mentltlned property and tha: all ellnstruetlon Will confnrm to all eXlStmg state and local laws and will proceed m aecurdance with submitted plans I am aware that the bUlldmg
ntlicial can revoke thiS permit for Just cause Furthermore, 1 hereby agree that the cay offICial ur a deSignee may enter upon the propet1y to perform needed mspcctHHls
~ ,-~/ /'
X //~~, /0-30-07
Signature Contractor's License No Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechal1lcal Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Park Support Fee
SAC
$
$
$
$
$
$
$
$
$
r;2NO
d
#
#
Water Meter Size 5/8"; 1",
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
1"
.I () - ? 0- (/ 7
I
Buildllll! Ulrlclal
Date
'7ft; . (j -J
/
s:c./n y-
o I
Tlus 15 tll certlly that the request m the abuve applrcatll1l1 and accllmpanyrng documents IS rn accordance With the City Zuning Ordinance and may prllcel'd as requested Tllls ducument
when Signed by the City Plallner constItutes a tempurary Certificate uf Zonmg cllmplranee and allnws cunstruetllln to ellmmence Befure uecupancy, ,1 Certificate "I Occupancy must be
isslIed
Planning Director
Date
24 hour notice for all inspections (')52) 447-9R50. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any