HomeMy WebLinkAboutBuilding 08-0605
t?tP TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS L5D(~ MaAA r - ~lJ
-
OWNER CONTR.
PHONE NO. PERMIT NO. R - u,a5
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~ULATION o SEWER HOOKUP o FIREPLACE FINAL
AL o PLUMBING FINAL o GASLlNE AIR TST
SITE INSPECTION o MECH FINAL 0
COMMENTS:
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)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~K, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~1 /~J Owner/Contr:
CALL ~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
B ./J" ci&..
I. White File I PERMIT NO I
2. Pink CIty . 08.0 ,- oS-
3. Yellow Applicant 'C
(Please type or mint and si2D at bottom)
ADDRESS
\ ~a b '6 M~Y\: -tat 1 . ~(ld
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
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(Address) \ ~() h ~
BUILDER
(Company Na
(Contact Nam
(Address)
\on3 \ '". ;+, \\;
\\ACXh:.kU '\<nad
ZONING (office use)
PID
(Phone)Q62-lfLIl- \'6 \,
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Capital Contracting Company
151 Burnsville Parkway Suite 211
Burns\-illc, i\Il\i 5533"'
(phone) q5"2 -Ill b -if \ 2. 0
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtiIity Conne&,~
CODE: DI.R.C. DI.B.c.
Type ofC "',..~, ..ction:
Occnpancy Gronp. A B
Division:
o Mise:
I
E
IT
F
1
m IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE sill, (')\l 0
(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-mentioned y.-y-.J and that all construction will ronform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:ffi?J!iJl;K; ju~ ca?~~agree tha~the ciryOffi7:C;@16 2~ulfe99toperform ne~lSP\~-l C 8
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$/h.rtl
$
$
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
I TOTALDUE
This Application Becomes Your Building Permit When Approved
I Paid
I Date
,. 1(,-7
~.,I :1-"'V
..
Building Official
Date
# $
# $
$
$
# $
# $
$
$
(7-$
J.kiPt No.
~,r" _
~~
SSS-2-
o
This is to certify that the request in the above application and a.....umyanying documents is in accordance with the Ciry Zoning Ordinance and may proceed as reque~ed. This document
when s@1ed by the Ciry Planner ronstitutes a temporary Certificate of Zoning romp1iance and allows ronstruction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372