HomeMy WebLinkAboutBuilding Permit #08-0789 ATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ',, r�
ADDRESS I — I � � � � �j �'� �� � � �
OWNER CONTR.
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PHONE NO. PERMIT NO. ,
� FOOTING 0 PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
O FRAMING ❑ WAYER HOOKUP ❑ FIREPLACE RI
0 INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
O FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
D SITE INSPECTION O MECH FINA� p
COMMENTS:
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❑ WORK SATISFACTORY, PROCEED
❑ CORRECT AC710N AND PROCEED
❑ CORRECT W , CALL FOR REINSPECTION BEFORE COVERING
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Uspector. � �"�� t � OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HE4LTH dc SAFETY.�
lNSNOTI
oF PRI�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�' ,' AND UTILITY CONNECTION PERMIT
U �
M��'NESD�P 2. I'in �;� PERMIT NO.
3 Yellow Applicant o � � � �
Please e or rint and si at bottom)
ADDRESS ZONING (ott'ice use)
��- � � 1��c-�.� �-� n�'�, ��,�
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
o�R � . ��~t q�2 - �{�5-� l5
(Name) ��hC� (Phone)
(Address)
BUII.,DER � ' r m � ,r � Q � r
(Company Name) �� r ' �1 � S (Phone) a'�Z �5� ��
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ Ne struction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
ddition ❑Alterarion ❑Utility Connection /^
CODE: ❑I.R.C. . .C. � Misc. ��k(/�-' V/Q�y�C�J'`' �v�"a/4Ro�+
Type of Construction: I II III IV 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 certify that I have fiirnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-menuoned propeity and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit forjust cause urthermore, I hereby agree that the city official or a designee may enter upon the property ro perform necded inspections.
X 9 �z�'" D g
gnature . Contractor's License No. Date
Permit Valuation �^--�� � Park Support Fee # $
Permit Fee $ aS� � 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 Permit Fee $ TOTAL DUE $ '�
This A 1' ati B e o ernvt When ppro ed Paid . ReCei t NO.
Date B
3 ��
Buil � ttici�l �te
This u to certify that the request in the above application and accompanying documents is in accordance with the Ciry Zoning Ordinance and may proceed as requcsted. This document
when signed by the City Planner consdtutcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director 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
t�EPARTMENT �f
BUILDING AND INSPECTION
SITE AD�RESS �I Zl � ��on.� � �.
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_____
TYPE OF WORK �E����. C-� � ,,,�,,�,�.�,�„�
USE OF BUiLDING Q� f4- �L
PERMIT NO. �$� DATE 1SSUED z'� e
BUI�DER NAN� PHONE # �'sz -
'�5 , �`I l �
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
TNE PERMIT IS BY SEPARATE �OGUMENT
IN�PECTOR pp
FflOTI�'+fG � 2 ��v� . � ID � �g
PLAGE NO CONCRETE UNTIL ABOVE HAS BEEN �IGNED
FiNAL
FOR ALL INSPECTIONS (952) 447-9850
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