HomeMy WebLinkAboutBuilding 08-0434
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TJON
)(fINAL
o SITE-1N5fECTI0
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
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o EXIdRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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j WORK SAT!SFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o COR~RCT ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto . Owner/Contr:
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
12_ 08
(Please type or print and si~n at bottom)
ADDRESS
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White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 08 OC!34-}
ZONING (office Lise)
LEGAL DESCRIPTION (office Lise only)
LOT BLOCK
ADDITION
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OWNER
(Name) r:; R \ \'
8'TR A to ()
(Phone) qs do --Y L{ 1- 5 <6 ~?,
(Address)
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(Contact Name)
(Ad~
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~ (Phone)__
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TYPE OF WORK 0 New Construction ODeck OPorch r\(~e-Roofing ORe-Siding OLower Level fInish 0 FircplilCc
OAddltIon OAlteratlOn o Utility Conne~
CODE: OI.R.C. OI.B.C. o MIsc.
Type of Constmetion: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
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I hereby cCHi 'Irmshcd Info rn< IOn un this appl <1t1On which is to the best of my knowledge truc and correct. I also certify that I am the owner or <lutllOnzed agent for the 1
dbove-m twned property and that all co stn ctlon WIll ont~ to all eXIStIng slate anli local laws and will proceed In accordance w. ith sub.mlttcd plans. I am aware that the buildIng
(lftiClill fa ., '. \.-, t-'\.lllrrt tor Just cause F trthermor , I h~~~y agree that the City offiCIal ur a deSignee may enter upon the property to perform needed lOSpcctHHls
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~'iature
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Contractor's License No.
0'\ ~cr:).-() B-
Date
Permit Valuation
Park Support Fee
SAC
#
#
Water Tower Fee
#
$
$
$
$
! $
$
$
$
$
7&. 0 ()
S~Orb
/
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechal11cal Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Perma Fee I $
Water Meter Size 5/8"; I",
Pressure Reducer
Sewer/Water ConnectIOn Fee
#
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Y OUI Building Permit When Approved
Paid
Date
'-;' (, . C/U
?J '2. _ ~
/1
RtctlPt No.
FU..
o
BllilulIlg orticla'
Dale
ThiS IS to certIfy that the rcquest In the above applicatIOn and accompanYll1g documents IS In accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed hy the City Planner constitutes a temporal)' Certificate uf Zoning compliance and allows constructIon to commence. Before ()ccupancy, a Certificate llf Occupancy must be
i.ssLled
Planning Director
Date
24 hOllr notin' for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conuilions. if any