HomeMy WebLinkAboutBuilding Permit #08-0268 p E TIME
CITY OF PRIOR LAKE f
lNSPECTION NOTICE SCHEDULED /
ADDRESS �� lJ � ��Ll2f�'h J��S ��"'
OWNER CONTR.
PHONE NO. PERMIT NO. �'�� � � � �
0 FOOTING 0 P�UMBING Rt ❑ FJUGRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
0 INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
O FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
-�c� �i�v �-� -
❑ WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
,/
Inspector: '����,� � OwnerlContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOl1RS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL NE,4LTH & SAFETY.�
WSNOTi
o F pRr CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,, �� ��,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
���� �� � AND UTILITY CONNECTION PERMIT �= Zd . U�j
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M ��'NESO'� P � Wh,�e File pERMIT NO.
2. Pink City � �. / � � / �
3 Yellow Applicant ��[
(Please e or rint and si n at bottom)
ADDRESS ZONING (ott�ice use)
� ��a .
,- �
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID a�, i UZ _(��1..3 •�
OWNER . (�`�
(Name) (Phone) �� � �7 /--��; ��
(Address)
BUILDER
(Company Name) (Phone)
(�ontact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Constr t�on ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition lteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. L�Iisc. (/�a.f �
Type of Construction: I II III N V A B � pROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby certity t t I have fiirnished infor tion on this application which is ro the best of my knowledge true and correct. I also certify that 1 am the owncr or authonzed agent for the
above-menuo d ro hat all co . truc will conform to all existing state and local laws and will proceed in accordance with submittcd plans. I am aware that the building
official can r okE i or jus ise rther gree t�at t e ciry official or a designee may enter upon the property to perform necded mspcctions.
X �
gnature Contractor's License No. Date
Permit Valuation �G Q (� 0 Park Support Fee # $
Permit Fee $ ��., � 1� SAC # $
V
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 Permit Fee $ TOTAL DiJE $ �
��- 7.s
This Application Becomes Your Building Pernut When Approved Paid S R i t No.
Date g� . c�
Buildina Ottici,il Date
This �s to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. This document
when signed by the Ciry Planner consututes a temparary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificatr of Occupancy must be
issued
Planning Director Date Special Conditions, if any
24 hour noticc for all inspections (9S2) 447-9850, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372