HomeMy WebLinkAboutBuilding Permit 07-1051
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
~SULATION
FNAL
ITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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.J1l:tiORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~CCALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/0,,3(07
t White
Pink
Yellow
File
City
Applicant
PERMIT NO.07. 105 / I
(Please type or print and si~n at bottom)
ADDRESS
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ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER JA .1 J A /Y, , J I I
(CompanyName)rlllAWtf1" 1C...f1dh~. S/~/~li ~ tJI'I,,/;(....lh,.JS ~C"(Phone) 76.$ SlZr
(Contact Name) . -r-tt.eresrx }1e!......lh"v -- (Phone)
(Address) 3/3 ~{Jfp~h, ~~ C4c~hJ"
9696
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Filllsh 0 Fireplace
OAddition OAlteration o Utility ConnectIon
CODE: DI.R.C. DI.B.c. o Misc.
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby cenity that I have hlrmshed mformation on this application which IS to the best of my knowledge true and correct. I also certIfy that r am the owner or i1uthonzed agent for the
JO<lve-mentlllned property and that 'Ill C<lnSIructlllO wtll conti)rm to all eXlstmg state and local laws and will proceed in accordance with suomltted plans. I am aware that the oUlldmg
oftkial can ~ t91s pt'rrvIt for Just cause Furthermore, IJrebY agree that the Clty official or a deSIgnee may enter upon the propt't1y to perform needed lOspectHms
X /"~.;Z ~~ ZeJO/()277 h/31A7
r Signature Contractor's License No. · Date
This Application Becomes Your Building Permit When Approved
Paid
Date
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1L7
IV.SI_vl
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# $ I
# $ I
$ I~
$ I
# $ I
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# $ I
$ I
$ I
() $7~-'L/OI
R<>l4r No. 54-13 fj ()
B~~l
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Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace PermIt Fee $
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water ConnectIOn Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
lllllldlllg Urtlcial
Date
ThIS IS to certity that the request 10 the abllVl' applicat1l)n ;:md accompanY1Og documents is m accordance with the City Zoning Ordinance and may proceed ,\S requested Tlus document
\.I,'hen signed by the City Planner constItutes a temporary Certificate of Zonmg complIance and allows construction to commence. Before occupancy, a Certificate llf Occupancy must be
i.'islIed
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any