HomeMy WebLinkAboutBuilding Permit 08-0728
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
lJd-
ADDRESS H,"" u fJ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
DATE TIME
5/12/6'
~-l~
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0 .
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. -,tWORK SATISFACTORY, PROC~EJ
.Ii CORRECT ACTION AND PROCEED
o CORRECT Wrr' CALL FOR REINSPECTION BEFORE COVERING
Inspector:. \y fJ Owner/Contr: .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
I
..,
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9. /0. of;
(Please type or print and si~n at bottorn)
ADDRESS
/(7l/'I
.
I~t'f ,L
AL/L
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
~'::e~~rU(( S- tt'Vtrt{OY\
(Address) ~n-z....<
BUILDER
(Company Name)
(Contact Name)
(Address)
S~~
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. oe . 072-8
,
ZONING (office use)
PID
(Phone) qr2 ~/~4 /'1'/ J
(Phone)
(Phone)
ORe.Siding OLower Level Finish 0 Fireplace
(tpa" r- cfu4: ( Je.4/1--1 iii€!)
PROJECT COST IV ALUE $ 5cn~
(excluding land)
TYPE OF WORK 0 New Construction DDeck DPorch ORe. Roofing
OAddition OAlteration DUtility Connection
CODE: DI.R.C. DI.B.C. ~isc
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: I 2 3 4 5
I hcreby certify that I have furnished lOformatlOn on this applical10n which IS to the best of my knowledge true and correct. I also ce11ify that I am the owncr or authorIzed agent for the
abOVfh'.me IOnc~pro crty d th t all construction will conform to all eXlstlOg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildlOg
official rcvokc I s per ust causc F~ I hereby agree that the City official or a deSignee may enter upon the property to perform needed lOspcctlons.
X IU . \
Signature '\.....-1 Contractor's License No. Date
I Permit Valuation
\ Permit Fee
I Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
.50 O. cru
$ l..-\.CJ 0
$ /~ . z...,j
$ .. ro
$
$
$
$
$
This Application Becornes Your Building Permit When Approved
Buildlllg Official
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
Date
H. 7r-
?/.J. pi!
# $
# $
$
$
# $
# $
$
$
/7 $ ClI.7.r:
1/
Re/.itpt No, SJ., 'j z, 7
:f~'
ThiS IS to ccrtlfy that the requcst in the abovc application and accompany 109 documents is 10 accordance with the City Zoning Ordinance and may procecd as requcstcd. ThiS document
whcn sign cd by the City Planner constltutcs a tcmporary Ccrtificate of ZOning compliance and allows construction to commence Before occupancy, a Ccrtlficatc of Occupancy must be
isslIed
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any