HomeMy WebLinkAboutBuilding Permit 08-1021
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~
TIME
PHONE NO.
3221 LINDEN erR
WESTERN
Re-Roof
BUILDING PERMIT #08-1021
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
)$1NSULATION
FINAL
o SITE INSPECTION
..... .- ~""...w..,""' .,.
LJ ~...."AD1FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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Fft:E
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~RK~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ( I fh Owner/Contr:
\.J V"
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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I White
Pink
Yellow
File
City
Applicant
(Please type or print and siW1 at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER d
(Name) /-L ~#-"7 .4-
(Address) 32 2. /
PERMIT NO. r, 10 2-./
ZONING (office use)
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(Phone) C/2 - %15,) ... ,,)2..2 ~
(Phone) .7 6" ..? -J-r/~~3~Y
(Phone)
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BUILDER
(Company Name)~?S /~//?
(Contact Name) /"'7./ /l:-L
(Address) ;iT ?,~t? /3~A
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TYPE OF WORK D New Construction DDeck DPorch DRe,Roofing DRe,Siding DLower Level Finish D Fireplace
DAddition DAlteration DUtility Connection
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
D Mise,
III IV V
HIM
234
A
R
5
B
S U
PROJECT COST /V ALUE $
(excluding land)
/,<;' J 5617 E'7
I
E
II
F
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I hereby certify that I have furmshed InformatIon on this applicatIOn which is to the best of my knowledge true and eOlTect, I also certify that I am the owner or authorIzed agent for the
above-mentIOned property and that all wnstruetlOn 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 perform needed Inspectlllns
x/~ Sig~re ~~~L? ~o~~:::f:e~:6" /2-.:2D::-OO
Permit Valuation
Park Support Fee
SAC
Permit Fee
$
$
$
$
$
$
$
$
TOTAL DUE
Water Meter Size 5/8"; 1";
Pressure Reducer
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
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1~ -
'7- 1,"\ - 0 f'
c. - I
Paid
Date
Buildlllg Omcial
Date
# $
# $
$
$
# $
# $
$
$ .A/
/J $ -I(P
l/ >7/7~
R~Pt No
B~ j /
ThiS IS to certify that the request rn the above applicatIon and accompanyrng documents IS In accordance wlth the City loning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constItutes a temporary Certificate of lonIng comphance and allows constructIon to commence, Before occupancy, a Certlticate of Occupancy must be
issued
Planning Director
Date
24 hour notiee for all inspections (952) 447-9850, fax (952) 447,4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any