HomeMy WebLinkAboutBuilding Permit 09-0142
DATE
~ /2'2./07
':f\~~ I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS .~ C-{oBO
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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TIME
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~OR~ S~TISFACTOR~, P~O~EE~. ~
o CORRECT ACTION AND PROCEED
o CORREc:f'WORK. CALL FOR REINSPECTION BEFORE COVERING
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y ,
Inspect4r: (1'1/ I Owner/Contr:
YVJ
CA'i.LA7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
Dutf! Rf!l.!'d
1'7, /] oj
File
City
Applicant
I PERMIT NO. () q (j /42--
/
zdNING (office use)
(Phone) Jz5/ t-j t; '7 IJ,) l' J
(Phone)
~~. S1-?~ \J,I;
/
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration DUtility COnnectIon
I hereby certify that I have furmshed InformatIOn on this application which IS to the best of my knowledge true and COlTect, I also certify that I am the owner or authorIzed agent for the
above. mentIOned property and that all construction WIll confmm to all existIng state and local laws and will proceed in accordance with submitted plans I am aware that the buildIng
otf1cial can revoke this permIt for Just cause Furthermore, I hereby agree that the Clly official Dr a destgnee may enter upon the property to perform needed InspectIOns
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\ Signature
$
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$
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//
/r:t:~Pt No.
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(Please type or print and si~n at bottom)
ADDRESS
I,l /) ~ P /U~C; a v1/-c;l
~E..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
/ J /.) .~ /' /') , ?
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(Phone)
C; C; 1/)
......
(Address)
1;;('2 tY7-{
BUILDER T ~ 0 _ _ r ' .
(CompanyName)_-' ~ Ii .~7. Jk JhC.,
(Contact Name) ~ < (? !~. /l.;. ~ 4? -:; ./~ .;
(Address) 91// It f h II!/ t' /l)
,C; C, v'~?c;
CODE: DI.R.C. DI.B.C.
Type of Constnlction:
Occupancy Group: A B
Division:
o Misc.
III
H
2
IV V
I M
3 4
A
R
5
B
S
I
E
II
F
1
U
PROJECT COST IV ALUE
(excluding land)
x
Contractor's License No
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
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Paid
Date
Blllldlllg Ufficial
Date
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ThIS IS to certify that the request in the above applicatIon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested TillS document
when signed by the City Planner constItutes a temporary Certificate 0] Zomng compliance and allows eonstructliJn 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