HomeMy WebLinkAboutBuilding 08-0425
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/4/n
5""-aJ, ~4.(/,^
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 /
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COMMENTS:
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f- } 7
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DATE TIME
7-15 ~C/;?
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o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C~OR RE'NSPECTION BEFORE COVERING
Inspector: )/7/11- Owner/Contr:
.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yello\',
File
Cit\'
Applicant
(Please type or print and si~n at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
i BUILDER
(Company Name)
(Contact Name)
Ev<( r, f<i'_c-n
,-
C~O r> :;1-("".
Date Rec' d
-t. I. (I
I PERMIT NO. Of. 04-25
ZONING (office use)
PID
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(Phone) (c:.. Sf ) .)0 ,) ..
(Phone)
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(Address) ,?'7{,.i e~)"-'r.o.rc..i ffC/'Q... /5/;
TYPE OF WORK 0 New Construction DOeck DPorch ~~:)RoOfing
DAddition DAlteration o Utility conn{c~-
CODE: DI.R.C. DI.B.c. 0 Mise.
Type of Constnlction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
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DRe.Siding DLower Level FinIsh 0 Fireplace
PROJECT COST IV ALUE $
(excluding land)
I hefeby certity that I have furnished mformatlOn on this application which is to the best of my knowledge true and correct I also certify that I am the owner or ;llIthonzed agent for the
ab<lvc.mentlUned property and that "U ellnstrUCtIlln wlIl conf,)rm to aU eXlStlllg state and local laws and wlIl proceed in accordance WIth submItted plans I am aware that the bulldlllg
official can revoke tillS permIt for Just caUSe Furthermore, I herehy agree that the CIty official or a deSignee may enter upon the propelty to pcrt~)fm needed inSpectIOns
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Signature
Contractor's License No.
Permit Valuation
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Plan Check Fee
Water Meter Size 5/8"; I";
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
Sewer/Water ConnectIOn Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fec
This Application Becomes Your Building Permit When Approved
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Paid
Date
lluildltlg Uftleial
Date
/ /
~ // / / JIf
Date
# $
# $
$
$
# $
# $
$
$
/J $
/I
Re{eipt No.
B'I/ .
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ThiS IS to certify that the requL'st In Ow abnvl' appl1catlOl1 and accompanymg documents is 111 accordance with the City Zoning Ordinance and may proceed ,1.'1 requested ThiS document
when signed by the City Planner Clm,stltlltes a temporary Certificate uf Zonmg compliance and allo\\.'s construction to commence Before llCcupancy, a Lertlficate of Occupancy must be
Isslled
Planning DIrector
Date
24 hour notier for all inspertions (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any