HomeMy WebLinkAboutBuilding 08-0711
DATE TIME
CITY OF PRIOR LAKE 1?;/6/~
INSPECTION NOTICE SCHEDULED
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ADDRESS ,C:~ 3 i.-l Qa~
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OWNER CONTR.
a - ?t/
PHONE NO. PERMIT NO. ()
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~ULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORl]EC K, CALL FOR REINSPECTION BEFORE COVERING
Inspecto. ) n Owner/Contr:
C L ~'.j;J;JjOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~QU'f:eMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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llVSNOTJ
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1- White File
2. Pink City
3. Yellow Applicant
(Please tvPe or Dl"in! and sign at t " :." "..)
ADDRESS
5Co3<-{ C~e.ciaruJnrKLS-+, ~E
LOT
BLOCK
LroAlS~SCRIPTION (office use only)
ADDITION
Date Rec' d
1,.>~ () ~
PERMIT NO. 08, 07 (L]
ZONING (office use)
~=R Qr- ~rl c\ 6", ~ h~ ~ -' () 1.5 () V'-
(Address) 5&3Lf Cecb I/'I.t.lQa dS+ N C
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BUILDER C 0 VX-\ \^Ot. c +0 I{
(Company Name) \'J() ('<-r"'-e \r V\ "F~r- ~ _ e- 'Li- e ~ I D r-..5
(Contact Name) Q. 011'\ () I .""l ^ 1'\
(Address) g () OJ 7 5, l'-l UJy I DIA. ~ ,J &> _
Pill
(phone) q '5 a -4 (j d.- -fJ-:St..?~.
(phone) 7(...3- 7 <t ~ - I/,J-I
(Phone)-=7& .~- 2~ 7 -C) 'l 83
J
TYPE OF WORK. 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
e-Siding DLower Level Finish 0 Fireplace
CODE: OI.R.C. OI.B.C. J;4' Misc:
Type ofC~_....;,..Jction: I IT ill IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
D,.--, /'"\'''''J"' ~, 4 - Cui # V\00U/ S
~ (Sti VV\. @ 51 2..e )
PROJECT COST IV ALUE S t I J :.l ;;)" -" l:> ~ -
(excluding land)
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-men~~perty and that all. a~ction will conform to all existing state and locailaws and will proceed in accordance with subrnitted plans. I. am aware that the building
official can ( ~s permit f04ust i ) a urthermore, I hereby agree that the city official or a designee may enter upon the y.vy.../ to perform needed inspections.
X - Lh ~ u ;~"'" ~ t",S!.,f2 ~ 5 d g' ~~/- t1 5(
I Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
1$
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'$
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'$
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'$
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'$
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'$
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'$
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'$
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Park Support Fee
SAC
I WaterMeter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Pemtit When Approved
Building Official
I Paid
I Date
1~-
'1 ~ ~- /;</ Y
Date
1$
1$
'$
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I RectlvtNo. ~I
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This is to certifY 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 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372