HomeMy WebLinkAboutBuilding Permit 08-0975
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J 6';;). 9, '3
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CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
D 0 MECH FINAL
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COMMENTS:
DATE TIME
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8-___ '7~S-
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
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JLWORK SAT!SFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREc:rwoRK, CALL FOR REINSPECTION BEFORE COVERING
J.I' " Owner/Contr:
44'.~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
City
Applicant
(Please type or print and si?;n at bottom)
ADDRESS
15~3
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Pf"'inr L~
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(NameL ~b
S.\.'-'I \
(Phone) l:\-nme. q 5 J - J...f J.11- 4'-/ 4~
(Address)
~"""e.....-
BUILDER
(Company Name) mv('n~ c.[)I'"\<; \ r J r _ \-~ ";) ""'
(Contact Name) M', \(~~ rC\.Jrr.::2.~
II (On I 1).\.(1'" Avf'#_ kJor~
~c....
(Phone)
(Phone)
5S<~1t A
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TYPE OF WORK 0 New Construction ODeck OPorch ~e-ROOfing ORe-Siding
OAdditlon OAlteration OUtility ConnfiQn
CODE: DI.R.C. DI.B.c. 0 Mise.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
(Address)
Date Rec' d
/ I. Z-~ .(1/
PERMIT NO. () r . 0915'
ZONING (office use)
PID
C{S''J -9'"-{\-7o,S-
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OLower Level Finish
PROJECT COST IV ALUE
(excluding land)
o Fireplace
$
I hereby certifY that I have hlrnished mfmmalion 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 eXlstmg state and local laws and will proceed in accordance with submItted plans. I am aware that the buildmg
~ticial can re~r JUS;~the/I hereby agree that the CIty official o;de(~le ~y .ent~p;t?etty to perform need; ;n~~:~ 0<{
. / SigJt.(ture / Contractor's~icense No. - Date
Permit Valuation
Park Support Fee
Permit Fee
$
$
$
$
$
$
$
$
SAC
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
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 Your Building Pennit When Approved
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II. ;2J..AI J7
,
Paid
Date
Buildlllg Ollielal
Date
# $
# $
$
$
# $
# $
$
$
{~ $ ~/(,;
i ~ceipt No. S7/3S-
1;-
ThiS IS to certify that the request in the above applicatlOn and accompanymg documents is In accordance with the City Zoning Ordinance and may proceed as requcsted ThiS document
when signed by the City Planner constltllles a temporary Certificate of Zonmg compliance and allows construction 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