HomeMy WebLinkAboutSiding Permit 04-1110
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ Y Lf 00
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
K FINAL <; ,,~,V
o SITE INSPECT~
COMMENTS:
\
SCHEDULED
1:)0 v~ <1\ ~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE
I Y '1. ~/o"
TIME
4 - J no
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)(WORK SATISFACTORY. PROCEED
o COR T ACTION AND PROCEED
o CO K. CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'MENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
INS/iOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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White
Pink
Yellow
File
City
Applicant
(Please type or print and sign at bottom)
ADDRESS
OtJPcdj
/ L/L/&O
LEGAL DESCRIPTION (office use only)
LOT2...BLOCK I ADDITION J(;/t?h
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GY e.[J ry f> _
#I'//SR
OWNER
(N ame)
8v-/'aAJ
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
Date Rec' d
PERMIT NO.Otf- IIID
ZONING (office use)
121
PIDd~- 3~g-OOd- -()
9~2. z~~- 3'-=1 {
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing I>>'Re-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Mis~ .
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
B
S U
PROJECT COST IV ALUE $
(excluding land)
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and correct. I also cet1ifY that I am the owner or authonzed agent for the
above-mentioned property ~~c:.:hi~:s:ll construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
;da! can revok, t;::;;~_A::;X::~:').hcrmore. I hcr,by .gm thot th, <tty offi,;.! '" '.z'~"'~ '";; '~t;~n~' prop'ny to perfonn n''''~d ;'(:"/ .. <.-/
Signature Contractor's License No. Date
Permit Valuation .~; !;-co, I Park Support Fee
Permit Fee $ -?Lt,75 SAC
Plan Check Fee $ ~ Water Meter Size 5/8"; I";
/ ,.- .::J S
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 Pennit When Approved
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Paid
Date
Building Otlicial
Date
#
#
$
$
$
$
$
$
$
$
$ 7c::'.-
" '..."') ~ -6
Receipt No. W>[v(l
By ~.
#
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I 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
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any