HomeMy WebLinkAboutBuilding Permit 09-0243
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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It
ADDRESS I t./Lt I '1
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
9 - "2<13
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)!f-FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WA rER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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j WORK SATISFACTORY. PROCEED
o CORRECT ~ AND PROCEED
o CORRECT r1.c/f- FOR REINSPECTION BEFORE COVERING
Inspector: iJ( Owner/Contr: .
pALL 44~5fFOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Address)
BUILDER /?uL i I t:.1 - J, 4 ~ j
(COmpanYName)~! {(AjVO{fU';!; /IU_-
(Contact Name) Bur ~ -r;- ~- /kj /
-/ -,
/99j~ fvt'.I/tI- tf,,-u, a, ~JJ-..t' f I
TYPE OF WORK 0 New Construction DDeck DPorch DRe-~ofing ~~e-Siding DLower Level Finish
DAdditIon DAlteration DUtIhty ConnectIOn ~ P~71 fl t--
~ISC lW' WlIV LJIJ Wf
White
Pink
Yellow
File
City
Applicant
(Please type or print and sis;:n at bottom)
ADDRESS
<-/I?J ~
/ #/7 SHo/lE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(N ame)
(Phone)
Date Rec' d
S,J.r'J
PERMIT NO.OCf. 02-4=3
ZONING (office use)
PID
(Phone) 9S79--3sb - 'II~r
(Phone)
~'7-37 /I'
(Address)
fit R/
CODE: OI.R.C. DI.B.C.
Type of Construction:
Occupancy Group:
Division:
II
F
I
III
H
2
IV
I
3
V
M
4
A
R
5
B
S
I
E
o Fireplace
U
PROJECT COST IV ALUE
(excluding land)
$
A
B
x.
Permit Valuation
Permit Fee
Park Support Fee
SAC
$
$
$
$
$
$
$
$
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Water Tower Fee
Builder's Deposit
Other
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE
.-'7/
/ f..p --
4v/r,.,.r;o/
/
This Application Becomes Your Building Permit When Approved
Paid
Date
BUlldlllg Official
Date
# $
# $
$
$
# $
# $
I $
I $
/1) I $ 7&. vO
jiPt No. ~7C;1?
B . - ...,.~
ThiS IS to certify that the request in the above applicatIOn and accompanymg documents IS m accordance WIth the City Zoning Ordmance and may proceed as requested. ThiS document
when signed by the City Planner CllnStltutes a temporalY Certificate of Zonmg compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions. if any