HomeMy WebLinkAboutBuilding Permit 09-0309
CITY OF PRIOR LAKE
INSPECTION NOTICE
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ADDRESS
, DA T~ TIllE
~oULE~P:I~ t~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
c -~Ol
r__
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
^ 0 MECN FINAL
tJ.J..4JV~
,
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
O.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
br1. FINAL S l QI..sCl
o SITE INSPECTION
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n~
\
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. 'WORK SATISF~TORY' PROCEED
o CORRECT A I AND PROCEED
o CORRECT ~. U. FOR REINSPECTION BEFORE COVERING
Inspector: \t.. · Owner/Contr: .
. v
pALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
lNS/iOTl
(Please tv1Je or print and si~ at bottom)
ADDRESS
1 ?/iPO
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(0..",07
White
Pink
Yellow
File
City
Applicant
\ PERMIT NO. Oft 0309
ZONING (office use)
'5(.1"-'" ~ Lc...l~ eJ, Pr:CY L.c..l!..... #/N'~~7.l
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
PID
OWNER
(Name)
~~\;-(".. K"-. ,Cy,._A2...... lr-o'f V'\Ao.-v +~ . (Phone) to, z, 37-1- tt 'k7'-'--
31 bO Sp.......~ ~L.-tC-e.- d'l P"o ( L....\~I rYIAlS'S'h'I'52' 2.''1.1: {g 2.\5
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
~ Ow W\,.e. r- ~
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ~Re-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection r
CODE: OI.R.C. OI.B.C.
Type of Constnlction:
Occupancy Group: A B
Division:
o Misc.
I
E
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certifY that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
above-mentIOned property and that all construction will conform to all exisllng state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
offiCIal can revoke thiS permll for Just cause Furthermore, I h,reby agree that the City offiCial or a deSignee may enter upon the property to perform needed mspecllons
X ~ ~ Coo.,,,,,,',L.reo,,No ~z.,..JetlCl'J I
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
l Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
\ Water Meter Size 5/8"; 1 ";
\ Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
\ Builder's Deposit
\ Other
\ TOTAL DUE
# $
# $
$
$
# $
# $
$
$
$ '1(P.OO
Recf<,? No. 57'1h/
{J'
This Application Becomes Your Building Permit When Approved
Paid
Date
7(fl -
'~o4
/
Buildinl;! Ollicial
Date
ThiS IS to certifY that the request in the above applicallon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document
when signed by the City Planner conslltutes a temporaty Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate or Occupancy must be
isslled
Special Conditions, if any
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372