HomeMy WebLinkAboutBuilding Permit 09-0114
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ) 4 2m ~'v\f) ~, l.-/~.
OWNER
CONTRo
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
jL FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
f~~
DATE TIME
3~
01- 0/14
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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.AWORK SATISFACTORY, PROCEED
o CORRECT WTION AND PROCEED
o CORRECt/WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALLoW-9850 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./1,(j~
White
Pink
J Yellow
File
City
Applicant
PERMIT NO. Oq~O/I;'
(Please type or print and sil!:n at bottom)
ADDRESS
ILf2CV 7'i::-vr<: kd€
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER ~ //
(Name) ~.:.C>{/
(Address)
~pe
(Phone)
BUILDER ,(/ J ...L r;:::? D~
(Company Name).=J - ""^';>()Zrf ~~?7
(Contact Name) ~ ~~~~""___n
(Address) ) 7/"'750 ~Jt;,~ c::::.r 6Pe;'1
- ,
./J ~ ....
773 I /'1 ~
(Phone) t::: i2 9'?~ /~ '7?
(Phone) ,:/'v
~,..,J ~ ??G
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration o Utility ConnectIon
CODE: DI.R.C. DI.B.c.
Type of Construction:
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 certify that I have hlrmshed Intt1fmation on this applicatIOn which is to the best of my knowledge true and COlTec!. I also certtfy that I am the owner or authof!zed agent for the
above-menttoned property and that all constructton will conform to all eXIstIng state and local laws and will proceed in accordance with submItted plans I am aware that the buildIng
offIcial can revok' thIS permIt' r Just calise Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform needed InspectIons
7-lt- O~
x
~QG-f7";? /0
SignatUre Contractor's License No. Date
Permit Valuation vri/VrvV I Park Support Fee # $
Permit Fee $ I SAC # $
Plan Check Fee $ I Water Meter Size 5/8"; I"; $
State Surcharge $ I Pressure Reducer $
Penalty $ I Sewer/Water Connection Fee # $
Plumbing Permit Fee $ I Water Tower Fee # I $
Mechanical Permit Fee $ I Builder's Deposit I $
Sewer & Water Permit Fee $ I Other I $
Gas Fireplace PermIt Fee $ I TOTAL DUE J $ 7(,
I
-Je, 1/ .G;' 7 ~f') Co
This Application Becomes Your Building Permit When Approved Paid Rectt No,
Date , f' _IQ/oC; BI/,
/ {f
BlIilJlIlg Ofticial Date
ThIS IS to certtfy that the request In the above applicatIon and accompanymg documents IS in accordance with the City Zoning Ordinance and may proceed as requested ThIS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg 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) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any