HomeMy WebLinkAboutBLDG 08-0291
DATE TIME
CITY OF PRIOR LAKE I I
INSPECTION NOTICE SCHEDULED / (). I J 1t::f3
I (
ADDRESS 0~ uJ:/lbeO ~~ J).
PHONE NO.
CONTR.
PERMIT NO. Q9 -- e>d5i/
OWNER
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~~SULA TION 0 SEWER HOOKUP
~ ~~NAL 0 PLUMBING FINAL
o SITE INSPECTION/) fi MECH FINAL
COMMENTS: (J\ bt/""-
v
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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?ORK SATISFACTORY, PROCEED
o CORRECT ~D PROCEED
'1K..P AILL FOR REINSPECTION BEFORE COVERING
Inspectof. .I I J Owner/Contr:
CALL M-9850 ~E NEXT INSPECTION 24 HOURS IN ADVANCE.
',--- ----
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOTl
(1 t-l rrV ~I{,(
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CITY OF PRIOR LAKE BUILDI~lj l'ERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5l.8,Ob
1 White
Pink
Yellov.'
File
City
Applicant
PERMIT NO. 08. 02- Cj II
~. -~,~ ~J. .-9C.Print and sil:n at bottom)
( r ADDRESS '"'"
~ - ~_?&_~(-<
M ~n/ ~4F/.;?/z
ZONING (office use)
.5~ t/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Phone)
(Address)
~~~~~~~~)~D v'fr -.ij .~'" /Wj cf" ( (Ph'::!"}..>:'/"< .S-t'J/ - 5" cC 'IJ
~ont~:' N'T5lY PAld '-<-;'./:-04'.5, ~ . ""(PhOne)
(f1Addres0') ~dl '7?~ 4h'$/l. /;~'vv/ / / ?/~ ~-7'.-z--- ~~~-/~eJ:
~ -- / /-
TYPE OF WORK 0 New Construction ODeck OPorch ORe. Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAdditlOn OAlteration DUtility ConnectIOn
CODE: OLR.C. OLB.C. o Mise,
Type of Constnlction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
Buildlllg ()fIicial
'1'1tilrmatllln on thi' pplicatlOn WhICh IS to the best of my knowledge true and correct I also certIfy that I am the owner or authOrIze,! agent for the '
Ion I conform to all eXistIng starc and local laws and WIll proceed In accordance with submItted plans. I am ,Iware that the buildIng
ImOIe, I hell'by aglee that the City otfiClal (11,1 deSignee may enter upon the plOpCtty to pettorm needed inSpectIOns
r:;j;#.~~",,-:;e:7 75 801-:- "?r-o~
Park Support Fee # $
I SAC # $
I WaterMeter Size 5/8"; I"; $
I Pressure Reducer I $
I Sewer/Water Connection Fee # I $
I Water Tower Fee # $
I Builder's Deposit $
I Other /I $
I TOTAL DUE I / $
I /
i RqOOpt No, _...:Sr77.r-
I B~
f
.'-.-.
x
Permit Valuation
Permit Fee
Plan Check Fee
$
$
$
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
! $
I $
~(,~
Sewer & Water Permit Fee
Gas Fireplace PermIt Fee
This Application Becomes Your Building Permit When Approved
Paid
Date
7{, /
5, z./: (/ V
,
Date
ThiS IS to certlty that the request 1I1 the above applicatIOn Jnd accompanY1l1g documents is 10 accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the CIty Planner constitutes a temporal)' Certificate of Zomng compliance and allows construction to commence. Bcfure occupancy, it Ccrtltkittl' Dr Occupancy must be
i.."islIcd
Planning Director
Date
24 honr notice for all inspections (952) -t-t7-98511. fax (952) 4-t7-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any