HomeMy WebLinkAboutBuilding Permit 08-0787 DATE TIME
CIIY OF PRIOR LAICE � / ,
INSPECTIONNOTICE SCHEDULED /���_
ADDRESS I � �¢
OWNER CONTR.
PHONE NO. PERMtT NO. S'� �
❑ FOOTING ❑ PLUMBING RI ❑ EXiGRADiFILLING
❑ FOUNDATtON ❑ MECH RI O COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ fIREPLACE Rf
❑ INSULATION 0 SEWER HOOKUP ❑ FIREPLACE FINAL
J?S�FINA4 0 PLUMBING FtNAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
O
_,�10 ; n� 14cr��
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
� CORRECT ORK, GALL FOR REINSPECTION BEFORE COVERING
I nspector: OwneNGontr.
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS tN ADYANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH �c SAFETY!
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oF PRtp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE q Z�y ��
.. , AND UTILITY CONNECTION PERMIT � �
U � ' �
�
M��'NESD�P 1 Whrte F�le
2 Pmk ��� PERMIT NO. $ �� S�
3 Yellow Apphcant
Please e or rint and si at bottom)
;,� ZONING (office use)
���'�' 1/�/l �� ����1�/ �'(f Sl�
LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK 3 ADDITION � GI//CiOS PID �,� Z'�f 7., D Z.�J', �
OWNER
(Name) (Phone)
(Address)
� D����'7'P ��{ �� i �,���2fi� � ��� �� � u�
���,� � (Phone) �
04 �ti �
Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
` �" °==^ " A ition ❑Alteration ❑Utility Connection
�(� �� � ,� a� 1�.��
CODE:� I.R.C. ��I.B.C. ❑ Misc. / � "- .e' .iyc
Type of Construction: I II III IV V A B PROJECT COST/VALUE $ �� "� a
Occupancy Group: A B E F H I M R S U (excluding land) �
Division: 1 2 3 4 5
I hereby certify that I have ' rmshed mformanon on this appLcanon wh�ch is to the best of my knowledge true and correct. I also certify that I am the owner or author�zed agent for the
above-mentioned proper and that all construcaon will conform to all exishng state and local laws and will proceed m accordance with submitted plans. I am aware that the building
offic�al ca evoke rmit for t cause F r more, I hereby agee that the city official or a desi nee�y enrer upon the property to perform nee �� cy=ns. ^
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Y ��r�
�� cona rro.
�_ . ,�.- . .
Permit Valuation ���� � Park Support Fee # $
. i
Permit Fee $ � SAC # $
Plan Check Fee $ ` 3 Water Meter Size 5/8"; 1"; $
.
State Surcharge $ Z � 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 Firepl ce Pe it Fee � $ TOTAL DUE q � 0 ,'� $ 7 3
, •
This ti ur Building Pemut Whrn Ap ove Paid � Re t NO. (j2�
Date v B
�
Bi i Date
This is to certify that the request m the above apphcaUOn and accompanymg documents u m accordance with the City Zonmg Ordmance and may proceed as requcstcd Th�s document
when signed by the Gty Planner consntutcs a temporary Certificate of Zonmg compl�ance and allows construcuon to commence Before occupancy, a Certificare of Occupancy must be
�ssued
Planning Director Date Special Condidons, if any
24 hour notice for all inspections (9S2) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 2¢ W�� S /�� �V •
TYPE OF WORK /l7�J d f�`7�
USE OF BUILDING �/�,�5 �l'/�'
PERMIT NO. 8. U � DATE ISSUED Q�a. O�
BUILDER S7v�/���i� N.r:7z., s�/�.s'. PHONE # �152. �G7. G2-1�
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING /$G cac.- K
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
�� �,�q,o �i a � �
Gu.�` �- � f °�
FINAL � zo n
FOR ALL INSPECTIONS (952) 447-9850
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