HomeMy WebLinkAboutBUILDING 07-1137
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS .3/38 u~~ ~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA T~N c:
~INAL ~ tQ::) \
o SITE INSPECTION
COMMENTS:
Al
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rt/() if~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
Yellow
File
City
Applicant
(Please type or print and si!1;n at bottom)
ADDRESS
_ ~13?) \NCf:d Due)~ Dr
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER r::: \(. 'H \ 1
(Name) c-Y) l\()f::v
.'
(Address) 5',35 WlXX) \)ltl bv
II. z9.07
I PERMIT NO. 07. 1/37
ZONING (office use)
PID
(Phone) lOll. lY \ 3 rll.-}
BUILDER
(Company Name)
(Contact Name)
(Address)
SF I J\ rl. .(
lNC
(Phone) Cj~S2- q \~) '/ Z.Z.-}
(Phone)
1::".'11 F,
U i;.ODlJl05f:
/
TYPE OF WORK 0 New Construction ODeck OPorch )(Re-Roofing ORe-Siding OLower Level finIsh 0 Fireplace
OAddition OAlteration OUtility Con~
CODE: DI.R.C. DI.B.c. o Mise.
Type of ConstnIction: I II III IV V A B PROJECT COST /V ALUE $ lL4 I C(i)
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
I hereby certiIy that I have hlrmshed Information on this application which IS to the best of my knowledge true and cOlTect I also certify that I am the owner or authol1zed agent ftlf the
Jbnve-mcntloncd property and that all nmstruction will conform to all existmg state and local laws and will proceed in accordance with submlttco plans_ I am aware that the building
~rlm~Zk~C 2vu::,Cfl:t~~\ agree that the Clry official ()r a deSlgr6asc/:IPon the property 1<) perf(llm neede, ,\'!Yl')~ I {r7
Signature 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 $
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
This Application Becomes Your Building Permit When Approved
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II. tA0 r17
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Paid
Date
lluildlllg Urticlal
Date
# $
# $
$
$
# $
# $
$
$
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- I $ -1v:;.OU
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Rec;{pt No. S~&/
By ~
[
ThIS IS to certify that the request in the above applicatIOn and Jccompanymg documents is In accordance with the City Zoning Ordmance and may proceed as requested This document
whl'll signed by the CIty Planner comtItutes a tempmalY Certificate of ZOl1lng compliance and allows constructll1n to commence Befme occupancy. .1 Certificate of Occupancy must be
Issucd
Planning DireclO[
Date
24 hour notice for all inspections (')52) ....7.9850, fax (952) ....7-..2..5
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any