HomeMy WebLinkAboutBuilding Permit 09-0349
DATE TIME
CITY OF PRIOR LAKE ~~~r;
INSPECTION NOTICE SCHEDULED
ADDRESS I S(,~ l) Sku 'I'''-L .
\..
OWNER CONTR.
PHONE NO. PERMIT NO. 7 - 3' ([ Cf
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
t.a.. ;F-ECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
9- INSULATION
~ FINAL
o SITE INSPECTION
,^ /~ I
r r ..._ /J JJdI 1__ 1/7
'--- \C/~/ V -I.. I ~
.\ P fI I! 'I
1Jd' ~. ~ /fcc.()ffi
. V /
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO..RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: I Y /I Owner/Contr:
~ALL ~-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF fRIOR LAKE BUILDING fERMIT.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Delle RuG' d
G,. I" 0 7
I White
Pink
Yellow
File
City
Applicant
c::;"~ 2A~ [5\
r t (~I ,'-l L.!:::V
(Please type or print and si~ at bottom)
ADDRESS
l S<C'O'7
,Ave,
N.W
~ 't~ "/ \ "\ f'\-G
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
PERMIT NO. 0 tt. O.l'l-'f
I
ZONING (office use)
PID
(Phone) q l?:Jd. 440 A ~A lS
OWNER,\2 ,..\ - 9
(Name) r 10 "L~\. .}--. n, ~ V
(Address) \ "f"~ ~<'i61 "5 ~-\J \ \ Y\. 0.. A \At '\----\ \ UJ .
I
(Phone) ~J\ qq4 dO'.~~
BUILDER --TJ~ (\ C'
(Company Name) V'( U<!e -{ 4 ~_ C\', m .)0 \ L/-+\ 0."\
(Contact Name) 'h \ Ch
(Address) 4<:o6S n \ CD \ 5"K d SU" +e. ';;j:)"d
(Phone)
EQ5Gl n MJJ
TYPE OF WORK 0 New Construction ODeck OPorch i52r'Re.Roofing ORe.Siding OLower Level Finish 0 Fireplace
OAdditlOn OAlteration OUtility Conne60h
CODE: DI.R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
o Mise
A
R
5
B
S
III
H
2
IV
I
3
V
M
4
I
E
II
F
1
U
PROJECT COST IV ALUE
(excluding land)
$
GOOO
I hereby certity that t have turmshed mt()rmation on this application which IS to the best of my knowledge true and corrcct. 1 also CCrtlfy that I am the owner or authOrIzed agent for thc
abovc,mentIoned property and that all construction will conform to all existmg statc and local laws and will proceed in accordance with submltted plans I am awarc that the buildmg
official can revoke thiS permit for Just causc Furthermore, I hereby agree that the City official Dr a designee may enter upon the propelty to perform needed mspectlons
x'lU~nCr;J) O_~ '~O f~C~traI::r'~L~s~O &, ~DSe9
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
This Application Becomes Your Building Permit When Approved
Paid
Date
tv
~ ,1tf>_ 0 &J
I
Builctll1g Ollicial
Date
# $
# $
$
$
# $
# $
$
$
I $ 7~
IJ
I Recej;INo. sY/C,r-
I By ;;....t.
U
ThIS 15 to ccrtlfy that the request in the above applicatlon and accompanymg documents is In accordance with the City Zoning Ordinance and may proceed as requested ThiS document
when signed by the City Planner constitutes a temporary Certificate of Zonmg compliancc 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