HomeMy WebLinkAboutBuilding 08-0481
CITY OF PRIOR LAKE
INSPECTION NOTICE
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ADDRESS
IATE~ / TIME
SCHEDULED 7 ~~
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
O.
COMMENTS:
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Of '
Inspector:
f'TI"'N BEFORE COVERING
~ WORK SATISFACTORY,
o CORRECT ACTIO;;4fi1D
o CORRECT WOpJ(t~
Owner/Contr:
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I DatjReC'd
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I White
Pink
'{el\O\v
File
City
Applicant
PERMIT NOQJ_48 /
.
_ (Please type or print and sie;n at bottom)
ADDRESS
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ZONING (office use)
c.,3
LEGAL ppSCRIPTION (office use only)
fl 'ZJt- '-t I I
~OT BLOCK c.r ADDITION
(Address)
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OWNER
(Name)
(Phone)
VV7~7YO-Z;
BUILDER
(Company Name)
(Contact Name)
(Address)
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-., /
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ~e-Siding OLower Level Finish
}OAddition OAlteration OUtihty ConnectIon ("
Ili 0 Misc.
CODE: I.R.C. I.B.C. ,..-)
Type of onstmcti: A5)1 II III IV aD A w,.....-- PROJECT COST IV ALUE $
Occupancy Group: A t:Y E F HIM R S U {excluding land}
Division: I 2 3 4 5
o Fireplace
---
! I heleby celtlfy that I have turnlshed ml()lmatllln on Ihls apphcallLln "hlch IS to the hest ot my knowledge tlUC and C()lrect I also celtlly that I am the ownel 1I ,wth()l ell agent 101 the
I above mentIOned plOpelty and that ,Ill Clmstluclllln Will conform to all eXiStmg stall' and local laws and Will plOcecd m acc()ldance with submilted plans ,1m awa that the oUlldmg
~~Imlt iSt cau . Flllthelmllle. I hCleby aglee tha the City otfiClal or a deSignee may enter upon the plOpel1y to pellorm needed uj'''fis 88
(_____ I Signature t .. Contractor's License No -- rjate
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1", $
State Surcharge $ Pressure Reducer $
I Penalty $ Sewer/Water Connection Fee # $ (
!
I Plumbing Permit Fee I $ Water Tower Fee # $
I
I Mechanical Permit Fee I $ Builder's Deposit $ \
I I $ L)
I Sewer & Water Permit Fee Other $ \.
I G" F"$I" 'T' Fcc '- $ ( TOTAL DUE $ ,
Thi, ,Ii J'T" , I it
00' Boildio. P=" WbJ, ;J~~ I Paid RecelOt No.
I Date By
~- Ate
l~uildl,,~ UII,elal
I /
ThIS IS to certify th~L' rl'qlll'~lVl' application and accompanymg documents is JJ1 accordance with the CIty Zoning Ordinance and may pnKl'cd ,1S requested. ThiS document
when slgned by the City t'lanncr cunstItUICS a temporary Ccrtlticatc of Zoomg comphancc and allows constructll10 to cummcncl'. Before occupancy, a CcrtlflCltc l)f Occupancy mllst be
i,SSllCd
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