HomeMy WebLinkAboutBuilding Permit 09-0231
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA~ON
Ji9-FINAL OO(C
o SITE I SPECTION
COMMENTS:
_ j"TE /
SCHEDULED ~/zqC)'1 / :4">17
I I
/b Of;"7 Jo/l-:r tfu-AJ(J r2t2
TIME
CONTR.
PERMIT NO.
cr-Z3/
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
MfJtuu~
(!.,/ .oSeE rr Lc
~ORK SATISFACTORY, PROCEED
o CORRECT ACTIOtD PROCEED
o CORRECT Wi!. . .. LL FOR REINSPECTION BEFORE COVERING
/ I.-
Inspector: ,- I Owner/Contr:
I .
.CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING fERMIT.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
(Please type or print and sign at bottom)
ADDRESS
/btJ97
/V~ ~ TN' t.I./tf/t? P
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) td//JS77:J.h'
(Address) /1503'7
.R
....
S / /'?7 I!:J;? S(:? ,-;)
(Phone) 95.2 - ~~t::7 - 3.z::zS
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BUILDER .
(Company Name) U/.E:')/~/n
h1 / .J:::-C.-
/f/h
et?c;Va.Y' S~~/v
- /
Date Kec'd
s:p oJ
I PERMIT NO. (jCf, 0 Z3 /
ZONING (office use)
/&1,1/ ..J/~72
PID
f'7)Y/~ Y Le:.-.ct:.- /'"..1.... s: r'.-:J;"2.
~
(Contact Name)
(Address) 9?' tt:' e:?
/de; (Phone) 7t5.f~S~/~ C'J p~
(Phone)/6""3 - / I' r, I'r
d:U.-v~d~~ ~h k:'<r~'?'/
'" ....
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TYPE OF WORK 0 New Construction ODeck OPorch .8lRe-ROofing ORe-Siding OLower Level FinIsh 0 Fireplace
OAdditlOn OAlteration OUtility Connection
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Mise
II
F
1
III
H
2
IV V
I M
3 4
A
R
5
B
S
I
E
U
PROJECT COST /V ALUE
(excluding land)
$ JI. .?/2~"
" -
I hereby certify that I have turnlshed mformatlon on this applicatton which IS to the best of my knowledge true and correct. I also certify that I am the owner or authOrIzed agent t"r the
above-mentIOned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submItted plans I am aware that the buildmg
official can revoke thIS permit for Just cause Furthermore, I hereby agree that the City official or a deSignee may enter upon the property to pertarm needed mspecttons.
x~
YA'~
Signature c:;/
-21.:7/ ~s:S6 6
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"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
-7/
PlR
r. (') ~ Of
This Application Becomes Your Building Permit When Approved
Paid
Date
Buildlllg Omeial
Date
CJ.J -/ce ~O?
Date
# $
# $
$
$ I
# $ I
# $ I
$ 1
$ vd
/J $ 7~
V
I Reet}Ipt No. 57 'f 0 /
7J
ThiS IS to certify that the request m the above applicatIOn and accompanymg documents IS m accordance with the City Zonmg Ordinance and may proceed as requested Tim document
when signed by the City Planner constItutes a temporary Certlficate of ZOning compliance and allows Cllnstruct!On to commence Before occupancy, a Certtticate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-98511, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any