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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: ^ ^ '\)) I l_>~1>...) \/ti ,. I /V DATE TIME 3frfa ,ss-crcr4 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