HomeMy WebLinkAboutBldg (Stonework) Permit 08-0992
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
4 ~a.(cP1
TIME
ADDRESS
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PHONE NO.
CONTR.
PERMIT NO. 8- 992
OWNER
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULAT'9N~ 0 SEWER HOOKUP
NAL /,: 0 PLUMBING FIN
t ~TE INSPECTION ~ MECH t!NrV
COMMENTS: r /1\W~'\~ O'tJ\!
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o EXIGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
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A WORK SATISFACTORY, PROCEED
o CORRECpcrlON AND PROCEED
o CORR'f~ ,o!f. CALL FOR REINSPECTION BEFORE COVERING
I n Owner/Contr:
V--
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
Date Rec' d
J2-~5,08
(Please type or print and siltn at bottom)
ADDRESS
/71~/
White
Pink
Yellow
File
City
Applicant
;:t:r/~AWN /H/~.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
BUILDER
(Company Name)~- COY? <;;: fvl,,~~
(Contact Name) ~cJ~n Ff'lffli!..-IL
(Address) U z..z.... t..,ltlu- A-v~.
TYPE OF WORK 0 New Construction ODeck DPorch ORe-Roofing ~e-Siding DLower Level Finish
DAdditlon DAlteration DUtility ConnectIOn /'SJOfJ e;-- w OK-f'
CODE: DI.R.C. DI.B.C. D Mise.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
OWNER
(Name)
(Address)
(Phone)
(Phone)
(Phone)
PERMIT NO. 0 &,0994
ZONING (office use)
PID
~o/
z c,1 o~ ~V'
D Fireplace
PROJECT COST IV ALUE $
(excluding land)
Z-:, szn; / 6D
Park Support Fee
SAC
I hereby certity that I have furmshed 1I1formatllln on this application which IS to the best of my knowledge true and correct I also cerl1fy that I am the owner or authOrized agent for the
above.mentlOned property and that all construction will conform to all eXlst1l1g state and local laws and will proceed in accordance with submltled plans I am aware that the build1l1g
~f1Clal can? ~ for Just (ause Ftllthelmore. I heleby agree that the CIty offiClal or a deSIgnee may enter upon the propelty to peltorm need,d ~':.;; ~
t:;:; /. / Stgnature Contractor's Ltcense No Date
Permit Valuation
Permit Fee
Plan Check Fee
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
Paid
Date
-'"
/& -
Il-F. d (/
I
BlIildl1l~ OIlicial
Date
# $
# $
$
$
# $
# $
$
$
$ 7fo. 00
II I
Redei,Pt No_ ~~ //S'C)
ByV
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ThiS IS to certify that the request 111 the above apphcatlon and accompanying documents IS 111 accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner constItutes a temporaty Certificate of Zon1l1g compliance and allows construction 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