HomeMy WebLinkAboutBuilding Permit 09-0311
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 15 J ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
NAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED .
P,Jt"lrJt~ V
"'-
CONTR.
PERMIT NO. m - (j ~ t (
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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~ \o~ fu. ~\.,p
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~ WORK S TIS FACTORY. PROCEED
o CORREf$CACT ND PROCEED
o CORRECT R :6.LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
\.. /'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
~ - f~d:b CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE .
AND UTILITY CONNECTION PERMIT JDf.t,t.Jg
Date Rec' d
I White
Pink
Yellow
File
City
Applicant
I PERMIT NO.q.S (j
-,
ZONING (office use)
(Please type or print and sign at bottom)
ADDRESS
l6~ lolR ~D
OA/<~
~D.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
A-l
0.M:TATA
(Phone) q5~ -{.jYO -ll0 ~
(Address)
BUILDER I . \...,-:- "-'1IvjJ" ,,\ oil D
(Company Name) WGlf1' l 1iv(<...l::5t)n 1',-
(Contact Name) k-A (.(2 n
(Address) 'SiJ-l \ ~vi efv'lOel~
ConsIQ OC 1) O()
(Phone) (/5 1- '-139 -Y3d-D
(Phone)
55D0d-.
~ n. j S-tl ( IlAJoJe{ II) II. -'
TYPE OF WORK 0 New Construction ODeck OPorch ~e-Roofing
OAddition OAlteration o Utility Connection
/ D o Misc.
CODE: ~I.R.C. I.B.C.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Fimsh
~8s~
o Fireplace
PROJECT COST IV ALUE $
{excluding land}
fOOD, OD
I hereby certify that I have furmshed mformation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner Of fluthonzed agent for the
above-mentioned property and that all ennstruCllon will conform to all eXlst10g state and local laws and will proceed in accordance with submitted plans. I am aware that the bUlld10g
official can revoke tlus permll for Just cause Furthermore. I hereby agree that the Clty official or a deSignee may enter upon the propeny to perform needed mspectlOns
X '0^\.. ~~ ao~~~y ~t4 5/;).9/0~
Signature Contractor's License No. . Date
Permit Valuation ~~. Park Support Fee # $
Permit Fee $ 14-.i') SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
State Surcharge $ \.Z~ 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 $ 1 ~- ,-
I
;::-;(;t'" Receipt N f2iJ i: 7103
Paid ~.. -; I
Date , +f~ By (. .
l'''' ~
ThIS IS to certify that the request 10 the above applicatIOn and accompanymg documents is m accordance with thc City Zoning Ordinance and may proceed as requested Tlus document
when signed by the Clly 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