HomeMy WebLinkAboutBuilding Permit 09-0238
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA liON
o FRAMING
o INSULA liON JJ ,t:;
~INAL f<.t!)e,
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
F -"1-Sse5
G1-C15~ Ftt..B
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/
'WORK SATISFACTORY. PROCEED
o CORRECT~CTIW:D PROCEED
o CORRECT W . L~ FOR REINSPECTION BEFORE COVERING
Inspector: / Owner/Contr:
.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSJYOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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(Please type or print and si~n at bottom)
ADDRESS
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Pink
Yellow
File
City
Applicant
PERMIT NO. 0 9. 0238/
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
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(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
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(Phone)
(Phone)
9rz. . 4--1- o. /Otj "/
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TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Mise.
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)
$
,IsZ
! hereby certity that! have hlrmshed Int()JmatlOn on this application which IS to the best of my knowledge true and correct I atso eertlfy that I am the owner or authonzed agent for the
above-mentIOned property and that all Cllnstructlon will conform to all eXisting state and !ocallaws and will proceed in accordance with submitted plans. I am aware that the building
olficlal can r~~~ tillS mlt for Just caus~e' ulthelmOle, I heleby agree that the city offiCIal or a deSignee may enter upon the plOpelty to pel form needed In::oJ~. , J
Xv' ~_ ~~
~ ~ ~ _Slgna~ Contractor's LIcense No (_ -=-~ate . )
Permit Valuation Park Support Fee # $
Permit Fee $ ZOJ. b> SAC # $
Plan Check Fee $ 1'11/,+-:/ I Water Meter Size 5/8"; I"; $
State Surcharge $ 1~.SD 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 I $ 44-~dlo
I
4-~ ~ /(, ()
This Application Becomes Your Building Permit When Approved Paid Receir1o, ~7 9 ()6
Date '-\: (r .(); By .r
t1
8uildlllg Ot1iclal Dale
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 TIllS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence Before occupancy, it Certificate of Occupancy mllst 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