HomeMy WebLinkAboutBUILDING 08-0778
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS l)L1?B
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
COMMENTS:
/"'\. I
G ~CV) .
DATE TIME
SCHEDULED /lIlt, n6
fVeal L~ ~l
CONTR.
PERMIT NO.
~-)76
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
rZJ
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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lJl 0
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.
Ab I~' rc(Q);~
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y(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~CALL FOR REINSPECTION BEFORE COVERING
Inspector: I ,Y (/~ Owner/Contr:
CALL 1J7-9~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9- z,~ ql
White
Pink
Yellow
File
City
Applicant
I PERMIT NO,6 fYrO -ny I
(Please type or print and sign at bottom)
ADDRESS
~5~'7~ u~dlaLLJ^- (I~$
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER _. ,1. ' ~ ./ / --.
(Company Name) r/r5 r L'1L:J/L( pet~I'"UV ~~r'_
(Contact Name) (1hkf'k.,._" ~~~
(Address) JAS6t.(6 pkToI'LLA Dr. 1/2 b. 0://'1 W1JU
TYPE OF WORK 0 New Construction ODeck OPorch ~~e-ROOfing ORe-Siding
OAddition OAlteration OUtility conneF
CODE: DI.R.C. DI.B.c. 0 Misc.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
(Phone) 3<-.:J..~-?t[(J6
(Phone)
~. ....,l/q
OLower Level Finish
o Fireplace
PROJECT COST /V ALUE
(excluding land)
$ -LO..ttJCC .od
I hereby certify that I have hlrnished mt()rmation on this applicatIOn which is to the best of my knowledge true and correct. I also certIfy that I am the owner or authorize,! agent for the
above-mentlOned propcrty and that all construction WIll conform to all eXlstmg state and local laws and will proceed in accordance with submItted plans. I am aware that the buildmg
official can revoke thIS permIt for Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed mspectlOns
C/&--~_
~
Signature
Contractor's License No.
9-~ l/..{J 7J
Date
x
This Application Becomes Your Building Permit When Approved
Paid
Date
7" -'1 J
.,~ ~~ .,p
,
# $
# $
$
$
# $
# $
$
$
$ 7G:, ~ (/()
II
I ReceUft No. .!5Gr(,7
I By 1
f
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
Permit Valuation
Permit Fee
Plan Check Fee
Water Meter Size 5/8"; I";
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Buildlllg Otlicial
Date
ThIS IS to cerllfy that the request m th" above applicatIOn and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constltutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any