HomeMy WebLinkAboutBuilding 08-0503
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 33 to c)
SD)"-lLe
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
() 0 MECH FINAL
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COMMENTS:
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TIME
B - 56'(
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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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X WORK SATISFACTORY, PROCEED
o CORRE~ AC):lON AND PROCEED
o COR~~LL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1 '2 I 0(3
] White
Pink
3 Yellow
File
City
Applicant
PERMIT NO. 08. 0503
(Please tvlle or Ilrint and siJl;n at bottom)
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LEGAL DESCRIPTION (office use only)
ZONING (office use)
)LJ
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER ~(\ f ". (
(Company Name) ,~~bf )
(Contact Name
(Address) .J AI
· - - f
rJ;Ra:f; =r;t!
L}JpJI(~ ~
(Phone) /()/;)- ?JI]:-YJ 'I 9
(Phone)
"
o New Construction DDeck DPorch ()f~e.Roofing
DAdditlOn DAlteration o Utility ConnftiMI
o Misc.
TYPE OF WORK
DRe.Siding DLower Level Finish
o Fireplace
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group:
Division:
I
E
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
PROJECT COST /V ALUE $
(excluding land)
A
B
U
(
I hereby~tifylhat I. h~h.lrnIShed InformatIOn on this applicatllln which IS tll the best of my knowledge true and wrrecl. I also certify that I am the owner.)) alltho zed agent flll the
ab~we-,':en lLln ,prop, rty nd hat, I mnstructllln will wnform to all eXistIng state and local ws nd will proceed In accordance with submrtted plans am aw e th~at e buildIng
ofhclalan ~v . :e thIS .er It ~ r Just allse Furthermore, I hereby agree that the Clty 1 n p n the propelty to perfQrm nee 10 6.
X, ~ '" t.
\ r s License No.
JI
Permit Valuation
Park Support Fee
$
$
$
$
$
$
I $
I
$
$
#
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
SAC
#
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
7&.o{J
TOTAL DUE
/'1
I /
} Re060t No. . I:J_ ?~~
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This Application Becomes Your Building Permit When Approved
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(
Paid
Date
Building Otlicial
Date
ThiS IS to certifY that the request 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 constltutes a temporary Certificate of ZonIng compliance and allows eonstrUC110n to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any