HomeMy WebLinkAboutBuilding Permit 08-0829
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESsSfo 1 t
ft.
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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DATE TIME
SCHEDULED
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CONT~.
PERMIT NO.
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o EXIG~DIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o WORK SAT!SFACTORY, PROCEED
o CORRECfl;A ION AND PROCEED
f CORRECT. ?rL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALV447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/J'ISNOTJ
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. 08. oez9 I
/
ZONING (ollic~ use)
(Please tv1!e or print and si~ at bottom)
ADDRESS '1
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(5-1 C (/' e.-
5l/ 7/ Clr-O ss C1I7C/~CL
fJli I j:? -5' c~ /)
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(Phone) 952. (y1r/7' () tt~ / Lj
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J c:.r- r"72
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~c~~~~Name)A rrlf~1C (tlJll C)-fir ~C.'l/~~n ffi C (Phone) 952, 8)Y:1 ./~/ O()
(Contact Name) .I OJ/ LI / c:z.' C t:; ~ 51 n CL/ (Phone) 952 253 - L/'U.70r:;-
(Address) q SS S' .-1 ti /VI e 9J! ~ =.i, (/ f3 / /)/) m I It:) rl! /J / ,!t11J 55"Lj3/
TYPE OF WORK 0 New Construction ODeck OPorch krRe.Roofmg ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Conntctii,~
(Address)
CODE: OJ.R.C. OJ.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc:
J
E
II
F
1
ill IV V A
H J M R
2 3 4 5
B
S U
PROJECT COST/VALUE $
(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 correct. I also certifY that I am the owner or authorized agent for the
above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
;cial can revoke this permit fOr!t cause. Furthermore, I hereby agree that the city Ollie:;r ~;~;4~; th~erty to l'<';vuu need; 27:r' ~ ~
~- C~ntractor's License No. ' i5a1
Permit Valuation I Park Support Fee # $
Permit Fee $ I SAC # $
Plan Check Fee 1$ I Water Meter Size 5/8"; I"; $
1 State Surcharge 1$ 1 Pressure Reducer I $
I Penalty I $ I Sewer/Water Connection Fee # I $
1 Plumbing Permit Fee 1$ I Water Tower Fee # I $
I Mechanical Permit Fee 1$ I Builder's Deposit I $
Sewer & Water Permit Fee I $ I Other $
- ,
Gas Fireplace Permit Fee I $ 1 TOTAL DUE -$ /J~ I.
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/11 1/
This Application Becomes Your Building Permit When Approved Paid If( Receipt No, ~fD7
Date /(>. f"'~l By ~ I /
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Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Direclor
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Special Conditions, if any