HomeMy WebLinkAboutBuilding Permit 09-0087
DATE
3/2tfhC?
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ;)8l{9... ]A t.l ~
TIME
PHONE NO.
CONTR.
PERMIT NO. 07- Q1?1Y
- - ,
OWNER
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: (4\ UCAik
-"
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~ CALL FOR REINSPECTION BEFORE COVERING
I nspector(J // / Owner/Contr:
CALL 44~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3, r7,o!
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 09. 00 e 71
, I
ZONING (officc'use)
(Please type or print and siltll at bottom)
ADDRESS
28#1
W/~O.J
L.A Alb
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
BUILDER /J /J A/1
(Company Name) /-il L5?A j( {~OIlI5'-I/<UCt/01V 1/ lol~t/1Qe;.... eN1
(Contact Name) t7 La"f-?AorV Et/AJ1/~ J
5/45,^-dv.-H/J.IAL 51/Zee1 I /J1AIJI~
" J' ,
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Rooftng ORe-Siding
DAddition DAlteration OUtility Connection
(Address)
(Phone) 152 '1'1 Z
(Phone) 1i/2 ... ~ fff'-
PLp./N/-/ljjV, ((3(1
'7o/f't/
L(jZI
OLower Level Finish
o Fireplace
CODE: OI.R.C. OI.B.C.
Type of Constnietion:
Occupancy Group: A B
Division:
o Mise
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST /V ALUE
(excluding land)
$
I hereby cerrify thar ( have furnished mformatIon on this applicarion which IS ru the best of my knowledge rrue and correct. I also certIfy that I am the owner or authorIzed agent for the
above-menttOned proper a~~~ll co "uction will conform to all extstIng state and local laws and will proceed in accordance with submttted plans. I am awa. re that the build10g
:ficial can re~; erml~~ ~ s '~thermore, I hereby agree that the City ;c20'G13.1m5er:/ .son the property to perform nee'] 1OspecttOns
V Sign"", Contt.ct,,', Liren~ No ,b2/.-P!l
J
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"; 1";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
/~. CJl.J
.3- /"1" d~
'/
13uildlllg Otlicial
Date
ThIS IS to certIfy that the request m the above application and accompanying documents IS 10 accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Plannel constItutes a temporary CertifIcate of ZOnIng compliance and allows constructIon to commence. Before occupancy, a Certlticate of Occupancy must be
isslIcd
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