HomeMy WebLinkAboutBuilding Permit 09-0090
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED 313(\(0;7
Qi'C)~lo
ADDRESS EJ7~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
69 - 00<76
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
?-FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~~~~
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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j..WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~) Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
l. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
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PERMITNO.O~. Do qD
I
ZONING C!ffice use)
5'733
(Please tvDe or urint and si2D at bottom)
ADDRESS
"I 5')-
,~5r., l:-
f//J.J/l /J~t'
"
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
&:R ,'5hlllJ/7 jUtd~~
(AddreSs)5~U !.'nf3# /7~ is.~. Sc
/1
5-1 In;
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BUILDER
(Company Name)
(Contact Name)
(Address) tit Cv
(phone)
t)5d
- is 5- - L/{;.&I'
"
(S! V t{
(phone) ~-f/S-}c Y?
(phone) <75--;2-7/.:::;-.:.. 7/ d4-
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
Planning Director
/'
o Misc:
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Conn~~
B
S U
PROJECT COST/VALUE $ ddU) 4f!
(excluding land)
I
E
II
F
1
ill IV V A
HIM R
2 3 4 5
I hereby certify that I h~ furnished i
above-mentioned propet~ and trdt con
official can revoke this remit for jus use
X l,/--}--,
! Signature
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
tion on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
u"tion will conform to all existing state and local laws and will proceed in accordance with submitted plans, I am aware that the building
'.. , h."., "'" .,,,.. dO om"" m, ""fii)'u"' ,"'. ., """"0 00 ,,,ro~ .""'~} ~
Contractor's License No, l5ate
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
$
$
$
$
1$
$
$
$
/l $ 7(;
.--} , II
/(~ - I Rec~tNo.
1, if" tI c1 B,,// I
8,ddm, om,", 1M. I ;/
This is to certify that the request in the above application and accompanying 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 Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
I Builder's Deposit
I Other
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
I Date
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Special Conditions, if any
.$ 7 2..--R' /
I