HomeMy WebLinkAboutBuilding Permit 08-0266
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'(( 11 (07
1
I
ADDRESS ) (Pl( l \
D\J\\ \~.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
8- :2('{p
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
s:...=INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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)(' WORK SA~ISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC1fiK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: OWner/Contr:
,CALL . ..gad FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
s,/fot;
1. White File I PERMIT NO hJ
; ~~71~w ~::licant . 0 8. 0 Z (p
(Please tv1le or IIrint and si'lIl at bottom)
AuvAESS ZONING (office use)
f(P4-ll
[)u I tA.. f-hAv~, S'
PV-1or La k.. ej MN '55~Q.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill
(Address)
Mo.Y\l tie.yw\eV\
\01-\\1 Du\uJ-h Me. S.
(phone) G \ 1- - J 0 1- '77 I f
rY-~Dr Lake! {\J\t...l ~7 31 'L
OWNER
(N ame)
BUILDER I J ('\ \
(Company Name) tl 0 yY\ e. ~ u r-e ) (' C .
(Contact Name) lV1 lC/he...11 e.
(Address) 1j 0 <1 ....<:; S koY-.e. Dr. ';tt:- 2foD
(phone)
(phone)
p I ~ (\;\ O'v{ f-~ I M N
TYPE OF WORK 0 New Construction ODeck DPorch ~Re-ROOfing ORe-Siding OLower Level Finish
OAddition DAlteration DUtility Connection
'l/P~-YI).-Y d-!6b
r.:; ~ t{=t {
o Fireplace
CODE: OJ.R.C. OJ.B.C.
Type of c."....~- ~.ction:
Occupancy Group: A B
Division:
o Misc:
J
E
n
F
1
ill IV V A
H J M R
2 3 4 5
B
S U
PROJECT COST/VALUE $
(excluding land)
~ :>5nO ,M:>
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
official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to ,...'f"uu needed inspections.
X IYj~ Vv~ d-.OS~O:;l.O'~ .~/IIo/oB
Signature Contractor's License No. . Dat~
# $
# $
$
$
# $
# $
$
$
/} $ .17(,;. va
RecejASt No. .574-(,
Bt'
I Permit Valuation
I Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
I Date
7 h, UU
-Fj.1. (It
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 ..,u,.~...ry Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Special Conditions, if any