HomeMy WebLinkAboutBldg Permit (VFW) 08-0938 TE TI�AE
CITY OF PR10R LAKE
INSPECTION NOTICE SCHEDULED � � �
ADDRESS � �3 ` �� M,O.+1� �
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OWNER CONTR.
PHONE NO. PERMIT NO. �' � 3��
❑ FOOTING 0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ PRAMING ❑ WATER HOOKIlP ❑ FIREPLACE Rf
❑ 1 ULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
INAL ❑ PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
��Q R
f�WORK SATISFACTORY, PROCEED
❑ CORREC CTION AND PROCEED
p CORR CT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Contr:
CAL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL NEALTH �c SAFETY!
wsivori ,
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oF PR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE // �`��
� ;��� �->v � AND UTILITY CONNECTION PERMIT �
U �' .� �
���'NES��P I Whrte Fde pERMIT NO. 'I �y
2 Pink City D y� ��� yy�
3 Yeilow Applicant �./ I V
Please e or rint and si at bottom)
ADDRESS ZONING (oefice use)
✓f,�J, /�318 � � `� � ss�7Z
LEGAL DESCRIPTION {ofiFice use only)
LOT BLOCK ADDITION PID Z� OZ . OU .
OWrTER
(Name) ��/�1�i (Phone)
(Address)
BUII,DER
(Company Name) i�� � IL/�O (Phone)
(Contact Name) � ' � (Phone) �s2 ' ���13�12-
(Address) / d 3 �' q,�r/
TYPE OF WORK � New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireptace
❑Addition �Alteranon ❑Util�ty Connechon
CODE: []I.R.C. ❑I.B.C. ❑ Misc. ��` .����c�os,��-
Type of Construction: I II III N V A B '=
Occupancy Group: A B E F H I M R S U PROJECT COST/YALUE $.���8
Division: 1 2 3 4 5 (excluding land)
I hcreby cerhfy that 1 have hirnished mformahon on this apphcauon whuh is ro the best of my knowledge true and conect. I also cert�fy that I am the owner or authonzed agent for the
above-menhoned property and that all construction will conform to all existmg state and local laws and will proceed m accordance with submttted plans I am aware that the building
official can re oke [h�s permit f ust cause Funhermore, I hereby agree that the city official or a designee may enter upon the property ro perform needed mspecuons
g � "` • // ' J" 'f��
Signature Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $ +
Gas Fireplace Perm' Fee $ TOTAL DIJE $
This Ap ic ' es Your Building Permit Wh Ap ved Paid ReCe� No.
Date B
B
Bmld i� ' al a e
This is to cerafy that the request m ihe above appluanon and aceompanymg documents �s m accordance wrth the Gty Zomng Ordinance and may proceed as requested This document
whe �d by the Gty Planner constitutes a temporary Cert�ficate of Zonmg compliance and allows construcnon to commence Before excupancy, a Cerhficate of Occupancy must be
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6��?���
Planning D'uector Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Scott County, MN
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DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS � ��L�� /'?A//V AI/F�ll/lJE
TYPE OF WORK ~ �S ENt'G4 SU1?.��
USE OF BUILDING � i�
PERMIT NO. 4�" 0 3 DATE ISSUED //. G• 4 fj
BUILDER Pi/ U ,. PHONE # �#?. q$�IZ
NOTE: THIS IS N T A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IMSPECTOR DATE
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
FINAL �
FOR ALL INSPECTIONS (952) 447-9850