HomeMy WebLinkAboutBldg (Siding) Permit 08-0964
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I 77l.f{
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
_g, INSULATION
;c--t=INAL
o SITE INSPECTION
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 EXIGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o I
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/~RK SAT!SFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRm.. '()m CALL FOR REINSPECTION BEFORE COVERING
Inspector 7 / t> Owner/Contr:
CA L 7~9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTJ
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
If. 2-- y, 0 y
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. IJ6.DCjft.4--
(Please type or print and siltn at bottom)
ADDRESS
/1741 f111 fU,/rW J
/!Vc
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LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
(Address)
(Phone)
~()L 11lAIJ1!!4~ ul/ST:
fhuL /YlAtj'StrM
63Z3 C'UAt14.6f IItlL ~.IIe,
BUILDER
(Company Name)
(Contact Name)
(Address)
~
(Phone)
(Phone)
$S.3701.
PID
ZONING (office use)
?~.J- cloa -0 'lor
OLower Level Finish
PROJECT COST IV ALUE
(excluding land)
$
o Fireplace
1071000
I hereby ccrtity that I have hlrnlShed mt(ll"matlOn on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentlOned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
~'fiCial can rcvoke~:;l~;thermore. I hereby agree that the CIty offICial or a deSignee may enter upon the propelty to perform ne;;~~;~)~
Signature Contractor's License No. Date
I"di. LArf f 11l~
~ /
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ~Re-Siding
OAdditlOn OAlteration OUtility Connection I .
CODE: OLR.C. OLB.C. 0 MISC.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
Gas Fireplace Permit Fee
7 ,. /
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I 131riTJlIl~tJt Ie. ___0_" ....------'Da1e '
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
$
$
$
$
$
$
$
$...
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I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I~- rOr-~
I TOTAL DUE
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#
#
#
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fCCiPt No.
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$
$
$
$
$
$
$
$
$
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Paid
Date
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ThiS IS to certify that the request III the above applical10n and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg complIance and allows construcl1on to commence. Bcfore 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