HomeMy WebLinkAboutBuilding Permit 08-0393
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS h'q ? ~ ""Z..
i>~b O..n
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~~NSULATION
.JSU'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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COMMENTS:
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DATE
2m-
TIME
8 - s,~
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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14)0 fmJ- \4c~
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AORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~O>>K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: V'( ") Owner/Contr:
\, --.'
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ j;7~ec'd
1 White
Pink
Yellow
File
City
Applicant
PERMIT NO. (J 9 _ 0.3 73 j
I hereby certify that I have hlrnlshed mformalwn on thIs apphcatlLln which IS III the best of my knowledge true and correct I also certify thaI I am the owner or authOrIzed agent for the
above men plOpClty ana 1 1,111 constluctwn Will Cllnform to all eXIstIng state and local laws and Will plocccd In accOldance WIth submitted plans lp~'t:lwale at the blllldmg
offiCi .;:n levoke tl; :~; cause Fl11thelmOle, I heleby aglee that the City l~too~~OpeI1Y III pl'ltorm needed~P! cJf;
V' SIgnature (Contractor's Llcense No ~ DM
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ParK--:;uVVvn-f,x---
(Please type or print and sil:n at bottom)
ADDRESS
i
!S4~j 8('00 Ie
{/r,O r
hatJ<:
/1'1 .11/
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
--
( ..o}Vl'lER~
(Name)
(Address)
t.. J '1 nt':f-h .lVe./If'1DJ)
1909 sov-fh ..shore Dr
(Phone)
BUILDER /1
(Company Name)-DO~ure.
T"c,
(Contact Name)
(Address)
'"
(Phone)
TYPE OF WORK 0 New Construction OOeck OPorch JPie-Roofing
DAddition DAlteration DUtility conneeon
CODE: a.R.C. DI.B.c. 0 Mise.
Type o~~ction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level FinIsh
PROJECT COST IV ALUE $
(excluding land)
Permit Valuation
~scQ? '
\k.t<
#
SAC
#
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Water Meter
Size 5/8"; 1";
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Pressure Reducer
\ _ 2.';
Sewer/Water ConnectIOn Fee
#
#
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
ZONING (office use)
,/
o Ftreplace
$
$
$
$
$
$
$
$
$ \.~."
..
Thi, ppli' iuu ',<om" Y o:::!-UUdiu, p';~~rn ~PP~"d
tl~
1,. -
~"l
~r('loe
Receipt No_ ~OSb
By fl./J {*
Paid
Date
ThiS IS to certify that the request in the above applicatIOn and accompanymg documents IS m accordance with the CIty Zoning Ordinance and may pnKt:cd as requested ThiS document
when signed by the City Planner constitutes a tempmary Cerl1ficate of Zonmg compl1ance and allows cllnslrUC110n \() commence Befme occupancy, a Cerl1tieate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9S50. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any