HomeMy WebLinkAboutBuilding Permit 09-0332
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA liON
o FRAMING
o INSULATION
~FINAL
?O--S1TE 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 EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~K. CALL FOR REINSPECTION BEFORE COVERING
Inspector: r (~ Owner/Contr:
CALL ~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
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(Please type or print and si~ at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. 0 y.
055Z_
n~
ZONING (office use) I
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
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(Phone)
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(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
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(Phone) '\C d. ~\
(Phone)
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TYPE OF WORK 0 New Construction ODeck OPorch M~e-Roofing ORe-Siding OLower Level Finrsh 0 Fireplace
OAdditlOn DAlteration OUtility Conn~n
CODE: DI.R.C. DI.B.c.
Type of Constmction:
Occupancy Group: A B
Division:
o Mise.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certify that I have hlrnlshed mfor
above-menuoned property and that all c
otlicial can revoke this pt'rm~''\'- !,,,.t
\
x
ion on this application which is to the best of my knowledge true and COlTect. I also certify that I am the owner Of authOrIzed agent for the
ruction will conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
Flllthelmore, I heleby agree that the CIty offiCial or a deSignee may enter upon the property to peltorm needed mspectlilns
19 \p> l~\
Contractor's License No
{
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
This Application Becomes Your Building Permit When Approved
Paid
Date
..--. ,
/<P.
G.Y.(/ '1
I
# $
# $
$
$
# $
# $
$
$
/1 $ 7~
1/ /
R~Pt No. 5J'/SLf-
By/_ /
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Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Buildlllg Otllclal
Date
ThIS IS to certIfy that the request m the above applicatIon and accompanymg documents IS m accordance WIth the City Zoning Ordinance and may proceed as requested Tlus document
when signed by the CIty Planner wnstItutes a temporary Certificate of Zonmg compliance and allows constructIOn to commence, Before occupancy, a Certificate ilf Occupancy must be
issued
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