HomeMy WebLinkAboutBuilding Permit 09-0126
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~dJa,
OWNER
PHONE NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
DATE
SCHEDULED Qjt~ tf(-
~\liW ~"r
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
() 0 MECH fiNAL
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~WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
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RE
TIME
Cj - 120
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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ECTION 'BEFo"RECOVERING
Inspector: lLl/- / Owner/Contr:
CALL 447~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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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
4-.1-0. OJ
I White
Pink
Yellow
File
City
Applicant
PERMIT NO. (Fj () /z.f.p
(Please type or print and si~n at bottom)
ADDRESS
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
$ d~ ,~A~A/
(Phone)
L (Address)
BUILDER r.? i/ /1 .. ~
(Company Name) ~~ ~r /~~'J .n flff?rr~~ I' ') cf;~A /'-
(Contact Name) / . - ~ -IJ.. . .
(Address) -Je-q<::/ c.::v1c:-/.rA.-tl. / /;,?,~:;.~ ~/l
(Phone)
(Phone)
PID
4..s /-
ZONING (office use)
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q<'.2 -'J-?..<<~ -C,o :2.9
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TYPE OF WORK 0 New Construction ODeck o Porch ~e.Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlon OAlteration OUtility Con~
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Mise.
B
S U
A
R
5
IV V
I M
3 4
III
H
2
II
F
1
I
E
PROJECT COST /V ALUE
(excluding land)
$
J ...,....-J
, hlrmshed mf()rmall on t s applicallon which is to the best of my knowledge true and correct. I also certify that I am the owner or authOrized agent for the
cliO III conform to all eXlstmg state and local laws and will proeeed m accordance with submitted plans. I am aware that the buildmg
,,," 'mm~'b' '.~ <b" <b, co, "m,,,, m' d"'",~ m" ~", """" <b, ''''''"' '" '0 'mm ::r;;:~~
r-~ ~re Contractor's Ltcense No Date
x
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"; I";
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
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4- ..1'0, Of
/
Bllildll1~ Ufticial
Date
#
#
#
#
$
$
$
$
$
$
$
$
$ ~7' r;
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jiPt No. 57 7 :C"~
This IS to certify that the request in the above application and accompanymg documents IS m accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the CIty Planner Cllnstltutes 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