HomeMy WebLinkAboutBuilding Permit 07-0267
DATE TIME
CITY OF PRIOR LAKE 5~
INSPECTION NOTICE SCHEDULED
ADDRESS 1St') ~3 ~\~V;W
OWNER CONTR.
PHONE NO. PERMIT NO. 7- O'Lre7
,..,
o FOOTING o PLUMBING RI o EXIGRAD/FILlING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSU~~ o SEWER HOOKUP o FIREPLACE FINAL
)zU:INAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
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P( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~ ' CALL FOR REINSPECTION BEFORE COVERING
Inspector: : Owner/Contr:
7. 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
151 7 3
1 White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 0 1.... z..~ 7
ZONING (office use)
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}Y/fU1,,~J I/~ ~
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LEGAL DESCRlPTION (office use only)
PID 1.;-~ Z S" 2. -00' ...()
LOT
BLOCK
ADDITION
({52 . '1L1c)~ Jl/O(P
OWNER
(Name)
I> I c.. It
1'5'7]
B(!fC /:.- At,
:7"5/,4A10 VIEw /lU11/)
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
&/2-g0l- CjIClO
b I'l- . fit) Z, .8/00
/2/)1# O()uJ IeV{) FIN b
R/(K J7)t!.N.{O,/J
TYPE OF WORK 0 New Construction ODeck OPorch Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connectlon
CODE: ~I.R.C. OI.B.C. o Mise ~E/Z()tJF W /711 Tt.-;tJ Ff ()/'/=
Type of Constmction: I II III IV V A B PROJECT COST IV ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certlly that I have hIrmshed mformal1on on this applicatIOn whICh IS to the best of my knowledge true and correct. I also certify that I am the owner or authorlzcd agent tor the
Jbove.mcntlllned property and that all construction will contlJrm to all eXistIng state and local laws and will proceed In accordance with submitted plans I am aware that the buildIng
,JftjClal can revoke '.!': peml 'm Just else Furthermme, I hereby agree that the City official m a deSignee may enter upon the property to perform needed Inspectums
-Z 0 / {p()3 'if '1 t/ . Z t: . 0 7
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Perml Fee
es Your Building Permit
Contractor's License No,
Date
# $
# $
$
$
# $
# $
$
$
$ 1 -
Receipt No. ~~ \
By
$
$
$
$
$
$
I $
$
Water Meter Size 5/8"; I";
Pressure Reducer
Park Support Fee
SAC
,....-
.1-.....,
Sewer/Water ConnectIOn Fec
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
1~,
k (0'1
4- Up 61
Date
ThiS IS to certify that the request In the above apphcatlon and accompanYll1g documents IS In accmdance with the City Zoning Ordmance and may proceed as requested ThiS document
when signed by the City Planner cunstltutes a temporary Certificate of Zomng 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) 447-9R50, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any