HomeMy WebLinkAboutBuilding Permit 08-0946
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 2~1
/ .
ADDRESS L/2~1 C. t-c; -<-_ - ..>r'97 .P
OWNER CONTR.
PHONE NO. PERMIT NO. 15-- '141,
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
YINAL - o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: ~,c.L-/
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-:'4+ P
J:fwORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECTJi-j{K. CALL FOR REINSPECTION BEFORE COVERING
Inspector: '-H " Owner/Contr:
,CALL 447~ FOR THE NEXT INSPECTION ~4 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1_ White File
2. Pmk City
3_ Yellow Applicant
(Please tvueor:.t'rint and siWl at bottom)
ADDRESS
lfZCo 7 6-~r-..)~DO'b.
C. \ 12...c '--C
Date Rec' d
PERMIT NO. 0 [3, 0 Cj4/p
ZONING (office use) I
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
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PID
(Address)
(N~~
LtLAoL~,-~~
(Phone)
L.l\l<--K-
q ~L- L( L-/"O - I '-f'7 '-I
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f0\rLT CAL-rtL-
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BUILDER
(Company Name) 1 cs-p
(Contact Name) _ ..J Z>+\-t--.) L \I.....J A
(Address) \06 y ~s.t-'aL
(Phone)
(Phone)
PN:J~
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Sl
(Os ( - L S'S' - ZJ!;'-( L/
M.D
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TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ~e-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: OLR.C. OLB.C. ~Misc: USeJt\~1 Dwr.L W\,\A..dovJ ~ .... ~ rL.JIJr.
Type of Construction: I IT ill IV V A B .
Occupancy Group: A B E F H I M R S U PROJECT COST IV ALUE $ -SSZ-"7S . 00
Division: 1 2 3 4 5 (excluding land)
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PermnValuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
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1$
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'$
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'$
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I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
1 Other
I TOTALDUE
I hereby certity that I have furnished information on this application which is to the best of my knowledge true and correct, I also certity that I am the Owner or authorized agent for the
above-mentioned property and that an construction win conform to an existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this ~ . r just cause. Furth more, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
--~ 203/I,o%' II / &>1 'klo7
Sig tore Contractor's License No, . Date
This Application Becomes Your Building Permit When Approved
Building Official
Paid
Date
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Date
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This is to certity 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 anows 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 S.E., Prior Lake, Minnesota 55372
Special Conditions, if any