HomeMy WebLinkAboutBuilding 08-0693
DATE TIME
CITY OF PRIOR LAKE I#~
INSPECTION NOTICE SCHEDULED
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ADDRESS tW.c.f
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OWNER CONTR.
PHONE NO, PERMIT NO. C8- ~4;~
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o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
,.8J:INAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION (l,o;J FINAL 0
COMMENTS:
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)f. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~~K, CALL FOR REINSPECTION BEFORE COVERING
I nspector: I fA I Owner/Contr:
CALJ44~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
LNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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Yellow
~:~y I PERMIT NOoc>.<:? (}(~ r::(
Applicant --- l
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ADDRESS
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LEGAL DESCRIPTION (office use only)
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BLOCK
ADDITION
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(Address) t.4~A-L\ (b 0 f'ctd 0
BUILDER ~ \ 0
(Company Name)----.!,) e.. \'
(Contact Name) S tlV{ Be{j r~
(Address)
(Phone)
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Date Rec' d
ZONING (office use)
PID
qS ~- 44 7- ~4L{f) I
(Phone) 'l5J'4L17 ;)J/tJ~
(Phone) SfS? -Lj'-L7--_:)L/45
TYPE OF WORK 0 New Construction ODeck OPorch ~-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddirion OAlteration OUtility Connection
CODE: ~,R.C. OI.B.C. o Mise.
Type of Construction: 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
I hereby certifY that! have hlrmshed mt()rmation on this applicatlOn which is to the best of my knowledge true and conect. I also certifY that! am the owner or authonzed agent for the
above-mcntlOned pr er d that all construction Will conform to all eXIsting state and local laws and will proceed in accordance with submitted plans ! am aware that the building
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Stgnature Contractor's Ltcense No ate
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ThIS IS to certifY thar the reqliCSt in the above application and accompanymg documents IS in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner constHutes a temporary Certificate of Zoning compltance and allows constructIOn to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Permit Valuation , Park Support Fee
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Permit Fee $ (4'L~ I SAC
Plan Check Fee $ I Water Meter Size 5/8"; I";
State Surcharge $ \ . 2~- j Pressure Reducer
Penalty $ I SewerlWater Connection Fee
Plumbing Permit Fee $ J Water Tower Fee
Mechanical Permit Fee $ I Builder's Deposit
Sewer & Water Permit Fee $ I Other
Gas Fireplace Permit Fee $ I TOTAL DUE
I I
our Bulllfu1g Permit \\ihe.nlcpro~ed
a '1 -1:!.
1/")00
Date /
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Paid
Date
Planning Director
Date
24 hour noticc for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
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$
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$ 7. Cc
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Receipt No.
By
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Special Conditions, if any