HomeMy WebLinkAboutBuilding Permit 08-0202
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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OWNER
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CONTR.
ADDRESS L/ /:<'0
PHONE NO.
PERMIT NO.
e-'d.OA.
o FOOTING
o FOUNDATION
o FRAMING
~ ~SULA TION
>-: ~~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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;(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COR;lr;'J1)K' CALL FOR REINSPECTION BEFORE COVERING
Inspect : I /~ Owner/Contr:
.~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
(Please type or print and sip at bottom)
ADDRESS
4130 W \-V\I~ )0 lH1
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CER1 llflCATE OF ZONING COMPLIANCE
AND lJTILITY CONNECTION PERMIT
Date Rec' d
+ ,24-1 OB
~. ~ ~:~ I PERMIT NO. 0(7 - 020'2,..1
3. Yellow Appticant 0
Clr.
Prluv lo.h I rnU
553=1:2.
LOT
BLOCK
LEGAL DESCRu J.iON (office use only)
ADDmON
OWNER
(Name)
(Address)
(phone)
BUIL.ur.K 1= . \ _ .
(Company Name) C j..~rlfJ -r
(Contact Name) J n'~n
(Address) 1335 lh vi( "it' v1
F1-f i-tS J ION'; :tN <.
ZONING (office use)
PID
(phone) 9S2- 3b ~- 13~~
(phoneLfnlZ- f5')- "1-'>0
<SQ~~ Q ,(( -J~ 'i'-;7. ~ :1
1)(". C~V\ J mlJ S>JJI
I TYPE OF WORK 0 New Construction 'tiDeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration DUtility Connection
C <ih )o.c ~
CODE: 'IAI.~.C.. ~I.B.C.
Type of c:.._. JCtion.
Occupancy Group: A B
Division:
In ffiIVVAB
EAHI MR.SU
(' 1") 2 3 4 5
OMisc: 1w.v G~~ e-L\X~~ <4cl<i"", t ~'f'c.1:.t wJ~~
PR.OJECT COST IV ALUE $ J a. 000, 00
(excluding land)
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I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and ~~.~~.. I also certify that I am the owner or authorized agent fur the
above-mentioned property and that all ronstruction will ronform to all existing state and local laws and will proceed in acrordance with submitted plans. I am aware that the building
official can 0 this permit fur just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to ,.c.L_ needed inspections.
-- ~O(";t 7 3 '7<0 '1- )1-01
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Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Signature
Contractor's License No.
~SoC>, t:)"D
$ '?'I, 7 S
$
$ I, 2-r
$
$
$
$
$
I Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
SewerlWater Connection Fee
Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
This Application Becomes Your Building Permit When A.. ... I ,d
~~
~/z'f)/t;r
'f Date
I Paid
I Date
7CP I VV
4-, z f'. cJf)
Building Official
Date
# $
# $
$
$
# $
# $
$
$
/) $ 7~. Q 0
/ /
fNO 56&/2-
By: .
This is to certifY that the request in the above application and a..w...,...nying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner roostitutes a............ "'.,ary Certificate of Zoning compliance and allows ronstruction to commence. Befure occupancy, a Certificate of Occupancy must be
issued.
Planning OiI.octor
Date
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E.. Prior Lake, Minnesota 55372
Special Conditions, if any
PRIOR LAKE
INSPECTION
RECORD
SITE ADDRESS ~/3fJ WiNDJIJtJ6 ci,ecu-
TYPE OF WOFlK bPt.If-eI /)t:i:.1L &A-4UJJ ~ lluJ!tJY2.r
USE OF BUILDING ~F;"-
PERMIT NO. 08' - tJu;rz DATE ISSUED #.l..'I /~i"
· .. i
BUILDER &u:J'l,I6A- &'rP~tr$~,.J.r IN~. PHONE # CtJI2 ..~O
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECT9RJ DATE
IF ~ttRll) M I
CRETE UNTIL ABOVE,,;HAS BEEN SIGNED
I / I
FINAL
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FOR ~LL INSPECTIONS (952) 447-9850
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