HomeMy WebLinkAboutBuilding Permit 09-0069
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
SCHEDULED ~ 09
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CONTR.
ADDRESS'S 5 Co ~
PHONE NO.
PERMIT NO. . 6 q - (9/"1 f r. q
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~INAL 0 PLUMBING FINAL
o SITE INSPECTION () 0 MECH FINAL
COMMENTS: IJJ? I" I'V.~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ()h Owner/Contr: .
.CALL~~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Req'd
S J. () /
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 09'. V(j to /
I
ZONING (office use)
(Please type or print and si~n at bottom)
ADDRESS
/Ss63
~ Id 6fjt1t:JtVr 4//~,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(
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/
I18rP
(Phone)
(Address)
BUILDER
(Company Name) ,<;IA1A1~l.ll\Jb CL);US-r;
(Contact Name) ..:r~,u St.41M~ (".otC;
(Address) <t]~ 50J7;:( SUrll-.JA.) L.4k?:.
(Phone) 95'";) - J.. '7 ~ -s-8~
(Phone)
8LVd
TYPE OF WORK 0 New Construction OOeck OPorch '~e-Roofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAddition OAlteration OUtility Connec:.on
CODE: OI.R.C. OI.B.C.
Type of Constmction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certify that I have furnished mfmmation on this application which IS to the best of my knowledge true and correct. I also certify that I am the llwner m authllnzed agent fllr the
above-mentlllned property and that all Cllnstrucl10n will conform to all existmg state and local laws and will proceed in accordance with submItted plans. I am aware that the buildmg
:fiCI~ust cause F lllllre, I I reby agree that the City llffici~me; ~on the propelty to perform needed ms;:~ 9
~/~ coo",",,', Li=" No. 3/: ID",
Per~it Valuation Park Support Fee # $
SAC # $
Water Meter SizeS/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
$
$
$
-;ro
I RLN: 571-&0
I By;'
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Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty I $
Plumbing Permit Fee I $
Mechanical Permit Fee I $
Sewer & Water Permit Fee i $
Gas Fireplace PermIt Fee $
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
7(P
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I
Bulidmg Otliclal
Date
ThIS IS tll certify that the request m the above application and accompanymg documents is m accordance with the City Zllning Ordinance and may proceed as requested ThiS dllcument
when signed by the City Planner CllnStItutes a temporary Certificate of Zonmg compliance and allows constrUCl1on to commence. Before occupancy, a Certificate llf Occupancy must be
issued
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