HomeMy WebLinkAboutBuilding Permit 08-1022
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ,/<i~{) Ri'\\"~ ~.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
::J FINAL
~ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o 0 MECH FINAL
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COMMENTS:
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DATE TIME
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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9"WORK SATISFACTORY. PROCEED
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o CORR:~TION AND PROCEED
o CORRiT;fO,RK. CALL FOR REINSPECTION BEFORE COVERING
Inspector -1 h Owner/Contr: ,
CAL'!! 44\,198~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQfREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Fl.. Z?oY
(Please type or print and sign at bottom)
ADDRESS
~~~:~ew ~l~licant I PERMIT NO. d!3. /02.- 2J-
/~?St/
ZONING (office use)
R ;:? L? ./ '/?
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) R /?/?~7"'r
~/2~
(Phone) 7Sd!- ~'f- 7"'.2+'2
(Address) /~fSo
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/l.~ _
/VL
(Phone) /' t5'..J ~r / '---C;:$ oj?"
(Phone)
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TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAdditlOn OAlteration OUtility Connection
BUILDER
(Company Name)t:.Vc:!"' ~/vrh
(Contact Name) .~/'--.A::...s=-
(Address) ?'? c:70 /" JrA
L't!Pr-/~L
,
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CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc,
I
E
II
F
I
III IV V
HIM
234
A
R
5
B
S V
PROJECT COST/VALVE
(excluding land)
$ /- t), S;J/
,
I hereby certify that I have nlrnlShed ml()rmation on this application which is to the best of my knowledge true and COITec!. I also certify that I am the owner or authOrIzed agent for the
above-mentIOned property and that all construction wlll conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans, I am aware that the buildmg
:';:;;" ,"" ~ '0' '"";;;: '''::;';':''"''W::;" om''':g ""';;g; ; ;""" ,",- "':::;'::;'~ _ 0 g
Signature '" Contractor's License No. Date
Permit Valuation
Park Support Fee
SAC
#
#
I $
I $
I $
I $
I $
I $
I $
J $
1/1 $
RecKr No.
Bj .
u---
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"; 1";
Pressure Reducer
Sewer/Water Connection Fee
#
#
Water Tower Fee
Builder's Deposit
Other
This Application Becomes Your Building Permit When Approved
TOTAL DUE
-"]/
Paid /~ /
Date /L_Z.1.-~cJ(
<'7/, 7
J
l3uildmg Official
Date
ThIS IS to certify that the request In the above applicatlOn and accompanYing documents is In accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the Clly Planner constItutes a temporary Certificate of Zonrng 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. ii any