HomeMy WebLinkAboutBuilding Permit 09-0264
DATE
SCHEDULED ~ ny,
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CONT~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1(083"5
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.JlI.- FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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COMMENTS:
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o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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rV(J ~~ r-C/A^
~WORKSA~FACTORy.PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~LL FOR REINSPECTION BEFORE COVERING
Inspector: I d Owner/Contr:
,CALL ~-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERul41CATE OF ZONING COMPLIANCE
AND (HlLITY CONNECTION PERMIT
Date Rec' d
~: Et ~:licant I PERMIT NO.t7~ 0 z.G?~ I
(Please type or print and sip at r . . _.... )
ADDRESS ZONING (office use)
I (0 s> 33 U JfC)+hl-'1 A-vPJ ~ \'0
LEGAL DESCRIPTION (office use only) "
LOT
BLOCK
ADDITION
PID
, (phone)
151 ~ L/ 1 (J.- ~ /9 ()
OWNER
(Name)
T (JY) Do~
IGg33
,:4v-e S LJ
WeS+--f:J U-f7I
"J
BUILDER H' l' f) I Y'\ C
(Company Name) ~ ;') U r 1::::" I
(Contact Name) M I ~ e j I Q..... ,
(Address) C) 9 Oq ~. S ~ -e P (',
(Address)
-7ft;?y --4/) -4)... fib
(phone)
(phone)
P / YM 0A +h " /'v1 N S-c;-z; 4- I
~+e ,2 SO
TYPE OF WORK 0 New Construction ODeck OPorch !SIRe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
o Mise:
n illlVVAB
F HI MRSU
1 2 3 4 5
PROJECT COST /V ALUE $
(excluding land)
I-"l. \ DZ)O -
I hereby certifY that I have furnished information on this application which is to the best of my knowledge IIUe and wu~_. I also certifY that I am the owner or authorized agent for the
above-mentioned r--r-:/ and that all constroction will confonn to all existing state and local laws and will r.---.1 in accordance with submitted plans, I am aware that the building
official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the r-~" ___,' to perfonn needed inspections,
X /i}l)/~ ?-Or;-2' D ).0, c:; ) J 5""/09
. , Signature Contractor's License No. . Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Pemtit Fee $
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I WaterTowerFee
Builder's Deposit
Other
#
#
#
#
I TOTAL DUE
Paid ; V; . vc.J
Date 5,24, tie,
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BO
. This Application Becomes Your Building Permit When AI" ,. ,.ed
Buildinl!: Official
Date
$
$
$
$
$
$
$
$
$
10.0u
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This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may r'- _..:1 as requested. This document
when signed by the City Planner constitutes a t~..__..ry Certificate of Zoning compliance and allows eonstroction to commence. Before occupancy, a Certificate of Occupancy must be
issued,
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372