HomeMy WebLinkAboutBuilding Permit 09-0118
DATE TIME
CITY OF PRIOR LAKE t$!~
INSPECTION NOTICE SCHEDULED
ADDRESS I 4<=t <{~ ~ ~rt_
OWNER CONTR.
PHONE NO. PERMIT NO. C; -liB
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
(It. FINAL 0 PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS: ~~W I. 1- tJ ,"'A ~/::>
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" WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT'J1;.!'- CALL FOR REINSPECTION BEFORE COVERING
Inspector: f h Owner/Contr:
CALL ~ 9 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
3. 2.(. f
I PERMIT NO. 09. 6// ~
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Applicant
(Please type or print and si~ at bottom)
ADDRESS 'V \ L
\y~ '-\~ '~r "'-d\. -=:>(
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER \'-.... \_____
(Name) \ ~'\/: tk. \ ".G...:N\?^.
.(Address) \l\~4o..... Gr:~.-s(
PID
Date Rec' d
ZONING (office use)
. (Phone) qfJt. '-140.1;/:;01 (J
~:o( k~ _ ~,j &3-:r7-.
.1
(Phone) Jt.6f -13/, 1/4:1 (7 xt (6
(phone)
BUILDER If ~ _ J f\
(Company Name) S:csr~+.,J:L-iJ+o^^", --' ~1/.lr.I <, LLJ../
(Contact Name) Mo..\:k Clc..h+-""A
(Address) ~~4: I?OG.f\P.", '1J.JL. ~c:.~^+ RJ MJ ~'O~
. -...) ,
TYPE OF WORK o New Construction ODeck OPorch o Re-Roofmg ORe-Siding OLower Level Finish o Fireplace
DAddition NAlteration DUtility Connection ~M~ 1~~'~J-5
CODE: DI.R.C. DI.B.c. ~MiSC:
Type of ConstIUction: I II ill IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ It; O()('). ('i)
Division: 1 2 3 4 5 (excluding land) I
I hereby certify that I have furnished information 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
above-mentioned ."vy'-"i and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:ffiCit~,:rVOk~it ~o;~rtherrn_ore, I hereby a~ee that the ci~ official O2 ~~~:0~;; the property to perform n~S~
~gnatu-;:e~ Contractor's License No. Date
Permit Valuation 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
Mechanical Permit Fee $ I Builder's Deposit
Sewer & Water Permit Fee $ I Other
Gas Fireplace Permit Fee $ I TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
I Date
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Building Official
Date
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57 2.,Sq
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This is to certify that the request in the above application and accompanying documents is in accordance with the Ci~ Zoning Ordinance and may proceed as requested. This document
when signed by the Ci~ Planner constitutes a temporary Certificate of Zoning 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 S.E., Prior Lake. Minnesota 55372
Special Conditions. if any