HomeMy WebLinkAboutBLDG 08-0736 (4-PLEX)
SCHEDULED
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TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
10 . c.;.v
ADDRESS
Ib01/ ~s. 9~, 't 7 ~iLt-{~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ "-7(~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~INAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: S"v')'ou~
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~WORK SATISFACTORY, ,1ROCEED
o CORRECT ACTIONi~ROCEED
o CORRECT W~W . FOR REINSPECTION BEFORE COVERING
Inspector: ~ f Owner/Contr:
;, .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Re: 'j
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White
Pink
Yellow
File
Cily
Applicant
(Please type or print and sil!:n at bottom)
ADDRESS a
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
PERMIT NO.()f1" 073~
ZONING (office use)
PID
(Phone) :!:2n--z.k:r- ~
BUILDER W I~ 0
~~::::~~:;~e)~QSGri .~ (\~-
(Address) \S?G\ Q,'JS'\.~,'t.\Q c..o...m ~O
- - I
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ).iRe-siding OLower Level Fimsh
DAdditIon DAlteration o Utility Connection ~
o Mise
(Phone)
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
B
S U
V
M
4
A
R
5
III
H
2
IV
I
3
I
E
II
F
I
PROJECT COST /V ALUE
(excluding land)
A
B
_~wb, V\l\W S~
o FIreplace
$3~
.
to all eXIsting state and local laws and will proceed in accordance with submItted plans I am aware that the building
agree that the CIty official or a deSIgnee may enter upon the property to per!ilfm needed inspectIons
"\ ZOz.~?b.Sl q-\ \<2
Contractor's License No. Date
x
Permit Valuation
Park Support Fee
SAC
Permit Fee $
~mQITkFff $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
i,:;, ~ 01.7
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Paid
Date
Builumg OHiclal
Date
# $
# $
$
$
# $
# $
$
$
/'J I $ /.52. 00 I
1/ __
~ipt No. .5/,SZ::J
, Byj, .
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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 Certlticate 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