HomeMy WebLinkAboutBuilding Permit 08-0744
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
17184 IDA CIR SW
HOME AND YARD
CONTRACTORS
Re-Roof
BUILDING PERMIT #08-0744
OWNER
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~INAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
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DATE
sA/n9
TIME
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
sa.. WORK SATISFACTORY. PROCEED
o CORRECT A~IO_N AND PROCEED
o CORRECT moM. CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
Date Rec' d
q, 1(, , 0;1
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
File
City
Applicant
I White
Pink
Yellow
PERMIT NO. 08.0744--
(Please type or print and si~n at bottom)
ADDRESS
ZONING (office use)
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LEGAL DESCRIPTION (office use only)
PID
ADDITION
LOT
BLOCK
(Phone) Y((7- 7 H 7 q
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OWNER
(Name)
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(Address)
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BUILDER
(Company Name)
(Phone) <7 <) d - 'I c.; 7 - ..;- ""3 7 V
(Phone) (/) {d - ([', 7 ~ d d 53
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(Contact Name)
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(Address)
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TYPE OF WORK 0 New Construction ODeck OPorch .ArtRe.Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddioon OAlteration OUtility COIfuecdon
o Misc.
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
~'
iJ ()/'J
A
R
5
B
S
III
H
2
IV
I
3
V
M
4
II
F
I
I
E
$
PROJECT COST /V ALUE
(excluding land)
U
I hereby certify that I have furmshed mfmmatllln on thIS applicatIOn which IS to the best of my knowledge true and correct. I also certlty that I am the owner or authOrIzed agent f"r 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 buildmg
{)fficialcan revoke thIS permIt for Just calise Furthermore, I hereby agree that the City official or a deSignee may enter upon the propetty to perform needed mspcctIons
x
Date
Contractor's License No.
Signature
# $
# $
$
$
# $
# $
$
I $
() 1$ 'J~, {,IV
1/
~(ceiptNo.~
- B{ .
(;
Park Support Fee
SAC
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 Meter Size 5/8"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
_/
{(p ---(J /
'1'_J(, r Y
This Application Becomes Your Building Permit When Approved
Paid
Date
Date
Bulldlllg Ot1icial
ThIS IS to certity that the request m the above applicatIon 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 Zonmg compliance and allows constructIon to commence. Befme occupancy, a CertIficate of Occupancy must be
issued
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Planning Director