HomeMy WebLinkAboutBuilding Permit 08-0996
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I t.f~'11 ~'tJU DJ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
O..)HSULA TION
,tll FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
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o EXIGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
((tC
V I .-
~ k~ ~N'~
/. . V ~
? WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT w6Rk. eLL FOR REINSPECTION BEFORE COVERING
Inspector:
OwnerfContr:
./
CALL 44'1-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/l'iSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2l1 at bottom)
ADDRESS
14 577 ~IlVfJr1 IL.
VE
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
I
_ D~ V1
/(-/ ~ 7 7
(Address)
2AK-
!?t"trll1
ct,
~L;-
~~~~~ NameLJ,Y Jt1
(Contact Name) Ii /-"7
(Address) LI/lo- elf:f Ijjj;fC
Date Rec' d
~. ~~e ~~~ I PERMIT NO. 84 Ct I
3. Yellow Applicant \ ""
ZONING (office use)
Pill
(phone) 0/) d -~j'S1- s ~ , Y'
(phone) -It!d - <is d 5 ('~ Cy{;."
(phone) CjS;;>- CJ I c;- '7./J i,..
A 11I~;;l
TYPE OF WORK 0 New Construction DDeck DPorch ~e.Roofmg ~e-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection
CODE: B.R.c. DI.B.C. t} Mise:
Type of onstruction: I IT ill IV V A B /0/ ) '{.) (A.)
{.,/'
Occupancy Group: A B E F H I M R S U PROJECT COST IV ALUE $ . -
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnish information on this all lication 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 th t all construction wi! rm 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 t cause. FIrth ore he eby agree that the city official or a designee may enter upon the property to perform needed inspections.
X -- F ) /(156 l2 J)/o~
i Signature';;' Contractor's License No. hate
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
'2<::::)00. -
$ '4-1~
$
$ 1- 2-0:;-
$
$
$
$
$
- - I
This I~ic i n Becom~X9.w:Building Permit Wher APprted
fJ) t 1- ('3 lOb
guildin~l Date
Park Support Fee
SAC
$
$
$
$
$
$
$
$
$
l~' -
#
#
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
I Paid
I Date
I R.eceipt No. <:>( ( n-
By f2-/-J fA-
'7 (Q,.._-
(-z- (B ! ~
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 construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Special Conditions, if any