HomeMy WebLinkAboutBuilding Permit 08-0916 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � 3 /
ADDRESS �SC'J ( �� �F2�.�J� ____ _
OWNER CONTR.
PHONE NO. PERMIT NO. � — ���
O FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP O FIREPLACE FINAL
..�1 FINAL ❑ PLUMBING FINAL 0 GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL ❑
COMMENTS:
O� �
� � ��
� WORK SATISFACTORY, PROCEEO
❑ CORRECT ACTION AND PROCEED
❑ CORRECT , CALL FOR REINSPECTION BEFORE COVERING
I nspector: OwnedContr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
�vsnor,
oF PRIp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� „� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE /U. 3/ (��
�' ' � AND UTILITY CONNECTION PERMIT
V. `; 7C
C�
M��'NESa�P � Wh��e Fde pERMIT NO.
2 Pmk City � ' � �n
3 Yellow Apphcant �l�
Please e or rint and si at bottom)
l�r "'�. �7 S'6 "1 / ' v�,� � � �(/(n-.G l�i�'/ f L-� k� /� � • ZONIN�'i (office use)
� � / �
LEGAL DESCRIPTION (ot1'ice use only)
LOT BLOCK ADDITION PID
OWNER
~ ; G -e,,� ,.,�„t.`J 5 Z - �/a - z � 3 7
(Address)
BUII..DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fin�sh ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: [�I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B pROJECT COST/VALLTE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby cert�fy that I have h�mished mformaUOn on this appl�canon which �s to the best of my knowledge true and correct. I also cert�fy that I am the owner or authonud agent for the
above-menhoned property and that all construcuon w�ll conform to all existmg state and local laws and will proceed m accordance with submitted plans I am aware that the buildmg
offici c rev�ce this perm�t for �ust cause Furthermore, I hereby agree that the ciry official or a designee may enter upon the property to perform needed inspecttons
X - —�
Contractor's License No.
Permit Valuation 3�Q � v Park Support Fee # $
Permit Fee $ $ �? V ��' SAC # $
Plan Check Fee $ �"7 ,y 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 Fire ace Permit Fee $ TOTAL DLTE $ 1/
Thi a' Beco ' ing Perrnit Ap oved Paid , Ree ' t No.
Date B .
3
�Idma Utlicial Date
This is to certify that the iest m the ove applicanon and accompanymg documents u m accordance wuh the Gty Zoning Ordinance and may proceed as requested This document
when signed by the Ciry Planner itutes a temporary Certificate of Zonmg compLance and allows construcuon to commence Before occupancy, a Certificate of Occupancy must be
�ssued
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (9S2) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
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� • ' ��'`� ,�:1 .', ♦
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DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J�J g iT ��L�7��� �•
TYPE OF WORK /�I'e,�SSU r%� S��i�'-� �- Dioo� db �'�+�G
USE OF BUILDING �-� •�Y
PERMIT NO. d�. d��(o DA E ISSUED /0. �/. G
BUILDER � �c��. PHONE # �0. Z/3'�
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE �NSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTBR DATE
����
PLACE NO CONCRETE UNTIL ABOVE HA� BEEN SIGNED
�!'��i�'
FINAL �
FOR ALL INSPECTIONS (952) 447-9850
.