HomeMy WebLinkAboutBuilding Permit 08-0157
DATE TIME
CITY OF PRIOR LAKE zl,-,/c>~
INSPECTION NOTICE SCHEDULED
ADDRESS S81J; JltA-tS Ct,
OWNER CONTR.
PHONE NO. PERMIT NO. 8 -- /67
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULA nON 0 SEWER HOOKUP
&. FINAL 0 PLUMBING FINAL
/b - SITE INSPECTION ~ MECH FINAL
. COMMENTS: Df?r:i_
n /) r. I, /l ,
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY, PROCEED
d CORRECT ACTION AND PROCEED
~ CORRECT W~ALL FOR REINSPECTION BEFORE COVERING
Inspector: It:(' J Owner/Contr:
CALL ~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
if /! fa?'
File
City
Applicant
I PERMIT NO. OS - 0157
I White
Pink
Yellow
(Please type or print and si~n at bottom)
ADDRESS
18C;S- ~~~d,
~+
f (' ," '.) / I c;. k e-
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
o.~( etA
3 8"9)
s'}
(Phone)
6 ()-]l.)-ffr7J
S' e(A. ( t:.J
Nc/~~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
08(C"" 5e"" t"-c/
(Phone)
(Phone)
J
TYPE OF WORK 0 New Construction ltlDeck OPorch ORe-Roofing
OAdditlOn o Alteraton' o Utility ConnectIOn
CODE: MI.R.C. DI.B.c. 0 Mise
Type of ~~struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: ~ 2 3 4 5
ORe-Siding OLower Level Finish
PROJECT COST IV ALUE $
(excluding land)
ZONING (omce use)
o Fireplace
I hereby cCltity that I havc turmshed mt(lrmatlOn on this applicatIOn which IS to the best ot my knowledge true and COlTect. I also certIfy that I am the owner or autho!lzClI agent tor the
abllvc-mentlllned property and that all coostructllln will cunfllrm to all eXlStmg state and local laws and will proeeed m accordance with submItted pfans I am aware that the build10g
~rlClal can ri:i91LT~~USe ~IT' I hereby agree that the City ort1cial or a deSignee may enter upon the proper1y to pertlJrm needed?~e~:s..::J 0
Signature Contractor's License No. Date
Permit Valuation
":\
f1:(300n, DO
I $ €>R.25
$ 57,3"
I. SQ
Pressure Reducer
Park Support Fee
SAC
#
#
Permit Fee
Plan Check Fee
Water Meter Size 5/8", I";
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
$
$
$
$
$
$
Sewer/Water Connection Fee
#
Water Tower Fee
Builder's Deposit
Other
#
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE
This Application Becomes Y OUI Building Permit When Approved
~i:d":"~ .iN.~s>
Paid , 'f 7 I I I
Date
Receipt No. 5S'5'Coe5
By t::;2.
-/'
$
$
$
$
$
$
$
$
$/t.fl,11
ThIS IS to certIfy that the requcstm the above application and accompanymg documents IS 10 accordance WIth the City Zoning Ordinance and may pmceed as requested TIm document
when sIgned by the City Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commenee Before llccupancy, a Certlticate of Occupancy must be
isslIcd
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
PRIOR LAKE DEPARTMENT OF
.. BUilDING AND INSPECTION
INSPECTION
RECORD
SITE ADDRESS ~~ M~ sr.
TYPE OF WORK ~ D~
USE OF BUILDING ~P: 0, .
PERMIT NO. OS - ()t5J DATE ISSUED -H- ~
BUILDER .]X1t.AAI rrurer PHONE #~n. SZl-SS73
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSP ;CTOR A DATE
FOOTING I!//V/ 1 L+'(6/~
PLACE NO CONCRETE UNTIL AB6vE" HAS BEEN SIGNED
~ 1 1
FINAL
FOR ALL INSPECTIONS (952) 447-9850
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