HomeMy WebLinkAboutBuilding Permit 06-0846
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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.
ADDRESS
3l-L{{,{
Sj1/l/U-.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
32-+4-
S/, /U/ U5
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LEGAL DESCRIPTION (office use only)
LOT II BLOCK
Date Rec' d
9./9,0'
White
Pink
Yellow
I PERMITNO.O~. 064-51
File
City
Applicant
ZONING (office use)
ADDITION
StltJJe;I HIl--&f
PID
. 17 Z. a (, I. 0
OWNE~
(Name) M>\. ~
Q\~
(Phone)
Ib ~- 5'2..~- D,-\~q
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration o Utility Connection
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
A
R
5
e-Siding OLower Level Finish 0 Fireplace
o Misc.
B
S U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certify that I have h.lfOlshed mformation on this application which IS to the best of my knowledge true and correct. 1 also certify that I am the owner or authOrized agent for the
Jbove-mentlOned property and that all wnstruction w1l1 conform to all existmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
official can revoke this permIt for Just ca Furthermore, I hereby agree that the City official or a deSIgnee may enter upon the propel1y to perform needed lllSpeCtIOns
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee I $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Pennit When Approved
Buildlll!! OIlicial
Date
q- ,'1- 0'-
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThIS IS to certit)< that the request m the above applIcatIOn and accompanYing documents is III accordance with the City Zoning Ordinance and may proceed as requested. TillS document
whcn signed by the CIty Planner wnslltutes a temporalY Certificate of Zonmg compliance and allows construction to wmmence. Before occupancy, a Certlticate of Occupancy must be
issued
Planning Director
Special Conditions, if any
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372