HomeMy WebLinkAboutBuilding Permit 09-0068
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS LIlt 750
LA~ ~~..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
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7- (p~
I
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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)("WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE]ORK' CALL FOR REINSPECTION BEFORE COVERING
Inspector.~ Owner/Contr:
CAU. -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
ll'ISNOTI
conE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
OWNER
(Name) /JE-L- R~KT c:?/ LJ?A./,6t//-G
(Address) 9fr' %?/ ~ /? L//5 ..J r /1/"?
(Please type or print and si~n at bottom)
ADDRESS
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L~C? ~.o 5
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
BUILDER
(Company Name)/A'/E slv/ /7 ~f?d?-7
(Contact Name) ~ / /c-~_
(Address) ;? 7' C? c>
/S/A
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I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 0 9~ OQ (Pi' I
ZONING (office use)
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PID
(Phone)2::--.rZ- ?/:?"?? - 7/(/.72.
2/7/07 Lc::;-k2~
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5~~ LJ/1/
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/~ ? (Phone) 7 6:5'-.5: ~/- 03 0 Y
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(Phone)
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TYPE OF WORK 0 New Construction ODeck OPorch ~Re.Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration DUtility ConnectIOn
CODE: OI.R.C. OI.B.C. o Mise
Type of Construction: I II III IV V A B PROJECT COST IV ALUE $ / -?.l d 6'.2 ...
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5 (excluding land)
I hereby certify that I have hunished mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner Ol" authonzed agent for the
above-mentlOned property and that all construction WIll conform to all eXlst10g state and local laws and will proceed in accordance with submltted plans I am aware that the build10g
offIcial can revoke 11m permIt flll Just cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform needed 10spectllJns
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Signature
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
I
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
l Gas Fireplace Permit Fee $
/l,1 I
771""J;m" Yoo, Boildio, ;""" : App'",,'
~"""Utli"", ~
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~V'r:.-'>__)~ '0 ~
Contractor's License No.
3- '9'-?>'T
Date
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$
7"~
~7~J
f
Water Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
.A;
I Paid . /' / f.o
I Date :r/q /F?'
I I f
--
R.eceiP~tJE..
By v,/
ThIS IS to certIfy that the request 10 the above apphcatlon and accompanymg 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 Zon1Og comphance and allows constructIon to commence. Before occupancy, a CertIficate of Occupancy must be
issued
Planning Director
Date Special Conditions. if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372