HomeMy WebLinkAboutBuilding Permit 08-0527 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ( �
ADDRESS �� i twe,.o � S �
OWNER CONTR.
PHONE NO. PERMIT NO. � — �
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❑ FOOTING O PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION O MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATtON ❑ SEWER HOOKUP O FIREPLACE FINAL
❑ FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: ,p��, � �� � �-- (��(,cK/
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J� WORK SATISFACTORY, PROCEED
/ �-
❑ CORRECT ACTION AND PROCEED
❑ CORRECT , CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CAL 7 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
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oF PR��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�' � AND UTILITY CONNECTION PERMIT 7 Z¢ OS
U �
M�'VNeSO�P � Wh,�e ���e pERMIT NO. D8, D J'
2 PmA C�ty
3 Yellow Apphcant
Please e or rint and si n at bottom)
ADDRESS ZONING (office use)
¢93�- �in,��✓�so� �'i r��' �z
LEGAL DESCRIPTION (ofl'ice use only)
LOT Z BLOCK Z- ADDITION SC��IO�L..`S � PID ,'� ()G� QO , V
OWNER /t"��J � (Phone) ��d` � �7� ��O'�a Z�j
ame lJ h.
GE�t�E �E1.r.�GE
(Address)
BUII,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construcnon Deck Porch ❑Re-Roofing ❑Re-Sidmg ❑Lower Level Fimsh ❑ Fireplace
❑Add�tion ❑Alter on ❑Utiliry Connecuon
CODE: R.C. ❑I.B.C. � Misc.
Type of onstruction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
Division: 1 2 3 4 5
(excluding land)
I hereby certify that I have hirnished mformation un this apphcation which �s ro the best of my knowledge true and correct I also cerufy that I am the owner or author�zed agent for the
above-menhoned propercy and that all consuucuon will confo�m to all exutmg stare and local laws and will proceed m accordance with submuted plans I am aware that the buildmg
otTici revoke this permit for�ust cause Fur ermore, I hereby agree that the city official or a designee may enter upon the property to perform necded ms ections
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X
Siguatu Contractor's License No. Da e
Permit Valuation S—U U v v Park Support Fee # $
Permit Fee $ Z �— ` � � SAC # $
P3an 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 Permit Fee $ TOTAL DUE $ �� �
This Application Becomes Your Building Perntit When Approved Pald � ReCei o. 2-
Date (Jb B
Build�na Ut�ticial Date
This is ro cerhfy that the request m the above appLcat�on and accompanying documents �s m accordance with the City Zonmg Ordmance and may proceed as requested Th�s document
when signed by the Gty Planner consututcs a temporary Certificate of Zonmg comphance and allows construcuon to commence Befure occupancy, a Cernficate of Occupancy must be
�ssued
Planning Director Date Special Conditions, if any
24 hour noticc for all inspections (952) 44?-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372 ��
DEPAR'1'MENT 4F
6UiL�ING AND INSPECTION
SiTE AflDRESS ��'¢- �!!�/V�� O� �-
TYPE OF WORK /L
USE 4F BUI�DING /�1l.�!
PERMIT NO. D�, C) �Z� DATE 15SUE �. Z. OS
BUIL.DER � ' L/� (f .,��f7�L!!ti/ PHt�NE # �"'7, Z$�o
NOTE: THlS i� NOT A PERMlT FOR ANY +L)F THE INSPECTiONS BELOW
THE PERMIT iS BY SEPARATE DOCUMENT
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PLACE NO CONCRETE UNTIL ABt�VE HAS BEEN SIGN��
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FINAL � zd
FOR AL� INSPECTIONS (952) 44�-9850 .
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