HomeMy WebLinkAboutBuilding 08-0660
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 5 CJ (f/
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
pt:FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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COMMENTS:
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TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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11/1.0105
}(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR!tll, CALL FOR REINSPECTION BEFORE COVERING
Inspecto : Owner/Contr:
CALL 44 850 FOR 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'~ J
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White
Pink
Yellow
File
City
Applicant
\ PERMITNO.O 8. O~" 0 1
(Please type or \lrint and si~n at bottom)
ADDRESS
S-I.
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Cross-An.d rt)..
LEGAL DESCRIPTION (olf1ce use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
ZONING (office use)
(Address)
Uh1 ~/.
(Phone) -f'tR,)'{) .~9 ~J/.?cJ
(Phone) _
BUILDER
(Company Namet
(Contact Name)
~
t::"/A)-~-r~n
1./
$"'r I.... ~ " /Cr-e.. me r
(Address) .9' 7 0 e~ IY7lJl\aI HvL
TYPE OF WORK 0 New Construction ODeck OPorch tl.Re-ROOfing
OAdditlOn o Alteration DUtility conn~on
o Misc
ORe-Siding OLower Level Finish
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
B
S U
A
R
5
PROJECT COST/VALUE $
(excluding land)
I
E
II
F
1
III
H
2
IV
I
3
V
M
4
A
B
J
o Fireplace
.-
I hereby certify that 1 have furnished mformatIon on this application which IS to the best of my knowledge true and correct. I also certlfy that I am the owner or authOrIzed agent for the
above-mentlllned property and that ..11 construction will conform to all extstlng state and local laws and will proceed in accordance with submitted plans 1 am aware that the buildmg
official can revoke thIS permIt for Just cause Furthermore, 1 hereby agree that the CIty official or a deSignee may enter upon the property to perform needed mspectlOns
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Signature
Contractor's License No
-
Permit Fee
$
$
$
$
$
$
$
$
SAC
#
Date
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I
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1
1
j
1
$
$
$
$
$
$
$
(1: J~
_/
~~\~t No.
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ThiS IS to certlfy that the request in the abovc applicatIon and accompanYIng documents IS in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the Clly Planner (OnstItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Permit Valuation
Park Support Fee
#
Plan Check Fee
Water Meter
Size 5/8"; 1";
\ Pressure Reducer
I
I
I
\
\
State Surcharge
Sewer/Water Connection Fee
#
Penalty
#
Water Tower Fee
Plumbing Permit Fee
Builder's Deposit
Other
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
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Buildl11g. Ofticlal
Date
I
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Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372