HomeMy WebLinkAboutBuilding Permit 09-0164
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TI.QN
~FINAL K~f'
o SITE INSPECTION
COMMENTS:
. tAr4 TIME
SCHEDULED 5/ " I 0\ ~: 3 cgp
5~7-0 P~Vl~~~.
CONTR.
PERMIT NO.
q. \<.04
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
C,l,OsG F-ll ~
PASS~
RY,PROCEED
NO PROCEED
LL FOR REINSPECTION BEFORE COVERING
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNon
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
] White
Pink
3 Yellow
File
City
Applicant
(Please type or print and si~ at bottom)
ADDRESS
56.20
p~ fl-Kt/;LA...}
Clk~L/<
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(N ame)
r- <:'.-1-'
c:..: /l / ~_ ....) /,'7 ,{ h
(Phone)
f'"
(Address) j (il;2 t>
C.L~ I ~
f ~ I ~' VI 'l.J
BUILDER ..
(Company Name) AI!;!-/" 1-
(Contact Name) -.E-f~..,.j {7 ~ l' t.l'> ,':; -,,',
(Address) S> 0/' 5 J;.?t..t ') t IL/ ,0 / csl. 51.'1..1...",
L,) Y' C; /fl~ L { I ~/l
/DS
Date Rec' d
?-. ~1.,~ 0 ';
PERMIT NO. 01. 0 I ~ ~
PID
ZONING (office usc)
7~.3 - '/ 1 'F - ,)":'7:70_";
~ S535f.
TYPE OF WORK 0 New Construction ODeck OPorch ORe.Roofing ORe.Siding OLower Level Finish 0 Fireplace
OAdditlOn OAlteration OUtility ConnectIOn
(Phone) '7&3- iJ 77 -5 7DD
(Phone)
J1....~LL rjp!..
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
I
III
H
2
IV V
I M
3 4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have hlrnlshed mtilrmation on this applicatIOn whICh IS to the best of my knowledge true and conecl. I also certify that I am the owner or authonzed agent for the
above. mentIOned property and that all c tns. ion will conform to all existmg state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
~ftCial:o/.c1l tilr J ~ urthermore, I hereby agree that the CIty official or a designce may enter upon the property to pertorm nye:m~:;::V q
- - Signature Contractor's License No. Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permtt 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
JG, -
t~ 1/-: ~ ft'
/
Paid
Date
Blltldlllg Oflieial
Date
#
#
#
#
()
I R~pt No.
J'
$
$
$
$
$
$
$
$
$
~/
/C,
--
I
/
" 77..1 ~
/
/
ThIS IS to certify that the request in the above applicatlOn and accompanymg documents IS m accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the Clly Planner CllnStllutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certlticate of Occupancy must be
Issucd
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