HomeMy WebLinkAboutBldg Permit 04-0866
ADDRESS
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SCHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o WORK SATISFACTORY, PROCEED '// / If
~ORRECT ACTION AND PROCEED / '
/' CORRECT WORK, C;~;YW'NSPECT'ON BEFORE COVERING
Inspector: f" ~ Owne riCo ntr:
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
.0 O.JNS ULA TION 0 SEWER HOOKUP 0 FIREPLACE FINAL
/I! FINAL 0 PLUMBING FINAL 0 GASLlN~R TST
:t:J SITE INSPECTION 0 MECH FINAL ~ 0 / /
COMMENr~~ / ...-, / h /'c:(Ji/ -
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSNOTl
~PR~
F-oO:: ~
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~NES~
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
'/3.7 ..(:,
I. White
2 Pink
3 Yellow
File
City
Applicant
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F
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2 3 4 5
LEGAL DESCRIPTION (office useonly) y
LOPB~i-,~t,AD6ItrOt'/. ^
~=~4/---a? ~A'~//e'~ ///
,(Address) ~Y-2~ 4k,r~g 5:2"
(Phone)
~c~~~~ NameJfl------- ~d Lp{ -& - (Phone)
(ContactNamet_p~~? ~.r~~. ---J (Phone)
(Address) ~tP9'~ ~~~ ~pt/// e?d,,~~5/'?C/"
- ~
PERMIT NO. t1L/- f(to b
I
ZONING (office use)
PIW- 00-':;-' ()l.b~
$/,r F/ S--:..J
~/-2-JO/- ;?tP~~
TYPE OF WORK 0 New Construction DDeck OPorch ~e-ROofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
B
S U
PROJECTCOST/VALUE $ 1CJ~&.. 6)0
(excluding land)
..r'7
n s 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
cti will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
rthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed Inspections.
/~-Lt:1/_77':;r8"/ :T-~Y-~
Contractor's License No. Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
(:;5C'O , ~
$ 7l(; -'15
$ I/~O
$
$
$
$
$
$
This Application Becomes Your Building Pennit When Approved
Building Otlicial
Date
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
--
. -/ / -. .-
Paid _~ \0
Date ?f/c;..LI-U_
# $
# $
$
$
# $
# $
$
$
$ 7G.---
Receiu.t No. /jlli/C).~
BY~ .
ThiS IS to certify that the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes 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
16200 Eagle Creek Avenue Prior Lake, MN 55372