HomeMy WebLinkAboutBuilding Permit 08-0713
DATE TIME
CITY OF PRIOR LAKE f~/6r
INSPECTION NOTICE SCHEDULED
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ADDRESS Li{D erg drt:~ /'
OWNER CONTR.
PHONE NO. PERMIT NO. J:2 ~-II'<;
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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
~INAL o PLUMBING FINAL o GASLlNE AIR TST
o ITE INSPECTION o MECH FINAL 0
COMMENTS:
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~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORillE ''}f~CALL FOR REINSPECTION BEFORE COVERING
Inspect : n r / Owner/Contr:
C J J7-~0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. While
2 Pm"
3. Yellow
File
Cloy
Ap~licant
I PERMIT NO. 08 _ (j '1/31
(Please type Of priDl and sip at bottom)
ADDRESS
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L.tJ --. S9 F::tr K.(If{'o]:>
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
Pill
OWNER
(Name)
~"Z-
(Phone)
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Pr I v-fIS!
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(Address)
BUILDER
(Company Name)
(Contact Name)
Date Rec' d
9, :;-. () 8
ZONING (office use)
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(phone) ~q-t/;> 7
(phone) ./;.(- ., / J;::;J9 ~./ /
(114- ~-r-: J{" ~/':'
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TYPE OF WORK 0 New Construction ODeck OPorch ~e.Roofing ORe-Siding
OAddition OAlteration OUtility Connection
(Address)
OLowef Level Finish 0 Fireplace
CODE: OI.R.C. OJ.B.C.
Type of Construction:
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 COSTIVALUE $
(excluding land)
7.Z!iG 0-0
I hereby certify that] have furnished information on this application which is to the best of my knowledge true and correct. ] also certifY that] am the owner or authorized agent for the
above-mentioned property and that all conslruction will conform to all existing stale and local laws and will proceed in accordance with submitted' plans. I am aware thaI the building
offiCIal can revoke this permit for just cause. Funhermore,] hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
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Signature
{?roorrll)c..Jt
-,.-~ ?We
I I Park Support Fee
I I SAC
I I Water Meter Size 5/8"; I";
I I Pressure Reducer
Sewer/Water Connection Fee
#
#
??,7re>
Contractor's License No. .
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
#
#
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
-----2~5?
~ate
$
$
$
$
$
$
$
$
$
-4/
/V
This Application Becomes Your Building Permit Wben Approved
/
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?
~ ~ceipt No. .5~ YO'7
? (
Paid
Date
BUIlding orrlclal
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 temporary Certificate of Zoning compliance and allows conslruction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Dale Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S,E" Prior Lake, Minnesota 55372