HomeMy WebLinkAboutBUILDING 08-0824
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS Ll\2.L\ W ;\\~\t~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
*ENSULATION
FINAL
S E INSPECTION
COMMENTS: emR
V
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
A
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DATE TIME
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I
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)( WORK SATISFACTORY, PROCEED
/ 0 \ORRECT ACTION AND PROCEED
o CORREUjRK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: , '() Owner/Contr:
CALL.: 7-"50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please tvl!e or urint and siEn at bottom)
ADDRESS
C//~2GI (j/;I//t:t{/(~/{;;OC/ Sfree I
1, White File I PERM T I
; ~~~I~w ;~~licant I NO. 08. o~U-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
&':e~R ;2 u.6 (~?' ,r- ;- ,/VJ / II r ~
(Address) tJ! 2 ~/ 11// / !O{-1) /4' .J(,/ (-; (-/ S-I
(Phone) qS~7 Z9~'
f;-/ Or ! a}{/ I ,Jfv1 J/
SL)/'J[
'-' C-' ~I
C- .., 7
.f=i-' -'. <" '\
~ ~ ___ z
~~~~~ Name) !f/YJ2 It (~~/) Sir be 1/ () /}
(Contact Name) -T Oil L1 ) (L iQ S' 5- / rl C1'
(Address) qs 55 :S-t.? /1'1 t'S A-LIP. s r;/ (j{j M
TYPE OF WORK 0 New Construction ODeck OPorch ~-Roofmg
OAddition OAlteration OUtility Conn;ctlbn
(Phone)
(Phone)
1(\ t1-ru/1 f
\J
ORe-Siding OLower Level Finish
C152.SJ?S'/200
Cf52- 2 s'3 G-/(f;() S-
,^1 P 55//3/
o Fireplace
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc:
I
E
II
F
1
ill IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST /V ALUE $
(excluding land)
10 .' i \1
}
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity 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
:cial can revoke this permit fpr i:st c use", Furthermore, I hereby agree that the city 0:2a1C; a/?:;eez.-; Z;CoZ property to perform neeics7:S;; /0 2
I atu~ Contractor's License No. I Date'
Permit Valuation I Park Support Fee # $
Permit Fee $ I SAC # $
Plan Check Fee $ I Water Meter Size 5/8"; 1"; $
I State Surcharge I $ I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee $ I Builder's Deposit $
I Sewer & Water Permit Fee $ 1 Other 1$
I Gas Fireplace Permit Fee $ I TOTAL DUE /J I $ 7("
1/
This Application Becomes Your Building Permit When Approved I Paid ~J~ - Rec7ft No. ~" 9t:J7
Date /0 f/~ oJ' By ( ./"".
tf
Buildin!! Official Date
This is to certity that the request in the above application 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
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372