HomeMy WebLinkAboutBuilding Permit 08-0052
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
f;~
TIME
OWNER
2844 FOX RUN NW
Gerold Bros.
Re-Side
BUILDING PERMIT #08-0052
ADDRESS
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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)( WORK SATISFACTORY. PR.OCEED
o CORRECT ACTION AND PROCEED
o CORR[20RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
. CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
INmOTI
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Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
l. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO.OB. 0 cJ5 L
(Please type or print and si~n at bottom)
ADDRESS ~ '841,/ ~;c Ru n N VJ
Pr~or LCl,k }1jJ 6-:5"37 a - 1>~3 8'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER \u L
(Name) -5..) 1 rt1 ~ LA~.J\n
Zi rrun.e....\
(Phone) 95J.,-l.JI7 - ~ 7ftJ if
(Address) ~4ti Fox RLLO J\LW... Prlo( L~ _ }-tAl
J , .
BUILDER G j} I
(Company Name) efO\CL 8'(08, r..D'f\S+. :J:n(,
6537~
PID
ZONING (office use)
(Phone) 96~ -758- aB'i~
(Contact Name) l),^-" e... Ge~
J LjDtt ~Cli't\. g.L
(Address) Po t3t7K ~gllJEW Pf<AGiLG
(Phone) Q5~ - ~'iD- 3IP30
fW OleO?/
,
TYPE OF WORK 0 New Construction o Deck OPorch ORe-Roofing ~e-Siding OLower Level Finish 0 Fireplace
DAddition o Alteration o Utility Connection
CODE: DI.R.e. DI.B.c.
Type of Construction: I
Occupancy Group: A B E
Division:
II IIIIVVAB
F HI MRSU
1 2 3 4 5
~j1;...~ 2~)1l)1 Rr=:{);4Je.." ~rC1-1f,-Iu&-t)
PROJECTCOSTjVALUE $ 9b,dJO ~
(excluding land)
Iil Mise:
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 t 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 p it for iuvt cause more, I hereby agree that the city official or a designee may enter upon the property to perform needed
inspectio~n
X . rlA ~ / 11' ~-ll-O ~
----- ~
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I 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";
Pressure Reducer
Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE
I Paid
I Date
7(; Uv
;;2 , / S. 0 t-
This Application Becomes Your Building Permit When
Approved
#
#
#
#
$
$
$
$
$
$
$
$
$ 7(P.l2Q
'l
7!'NO
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