HomeMy WebLinkAboutBuilding Permit 07-0311 DATE TIME
CITY OF PRIOR LAKE ��� (/
INSPECTION NOTICE SCHEDULED
ADDRESS G� b � �J , �
T
OWNER CONTR.
PHONE NO. PERMIT NO. �"' .� r�
O FOOTING ❑ PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION ❑ MECH RI O COMPLAINT
❑ FRAMING ❑ WATER HOOKUP � FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION O MECH FINAL ❑
COMMENTS:
�
❑ WORK SATISFACTORY, PROCEED
�CORRECT ACTION AND PROCEED
❑ CORRECT ORK, L FOR REINSPECTION BEFORE COVERING
Inspector: OwneNContr.
CALL 44 850 R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH dc SAFETY!
�vsnor�
oF rx� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE � 9 (� 7
� AND UTILITY CONNECTION PERMIT
U �
M��'NES��P � Wh,�e Fde pERMIT NO. �-7 03 ��
2 Pml. Ciry
3 Yellow Apphcant
Please e or rint and si at bottom)
ADDR.ESS ZONING (ott�ice use)
¢03 �7 /`%il�s�/AL.�- ��'D i9 /s/,)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID Zu'�, .3Z. 00/. U
OWNER /, p
(Name) l 1�111 �/�/(�`1�. (Phone) 662� �`�"3� b 3�O
(Address)
BUII,DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alter on ❑Utility Connection
CODE: .R.C. ❑I.B.C. ❑ M�sc. � " 3 X S '�.9 �S'¢�'`�
Type of�struction: I II III N V A B pROJECT COST/VALUE S
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (exciuding land)
I hereby cernfy that I have him�shed mformanon on this apphcat�on w h is to the best of my knowledge true and correct I also cert�fy that I am the owncr or authonzed agent for the
abuve-mennoned property and that all cunstruchon will conf o exisnng stare and local laws and will proceed m accordance with submuted pians I am aware that the bmldmg
official can revoke thts pe�mrt for � t c se Fur ermor , ereby agree that the city official or a designee may enter upon the property to perform necded msp �caons
x .� ��
Sign Conuactor's License No. Date
Permit Valuation �00� �� Park Support Fee # $
Permit Fee $ � S� � � SAC # $
Plan Check Fee $ 1 Z S Water Meter Size 5/8"; 1"; $
State Surcharge $ � S'� , Pressure Reducer $
Penalty $ Sewer/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Firepiace Permit Fee $ TOTAL DUE $ � 7S'
This Application Becomes Your Building Pemut When Approved Paid '� ReCei t No.
�� � `� � 6 Date B
�Q.
Buildms Utticial D< e
This is to cerhfy that the request m the above apphcat�on and accumpanymg documents �s m accordance wuh the City Zonmg Ordmance and may p�oceed as requcsted Th�s dixument
when signed by the City Planner constitutcs a temporary Certtficate of Zomng compLance and allows construct�on to commence Befure occupancy, a Cernficate of Occupancy must be
issued
Planning Director Date Special Conditions, if any
24 hour noticc for all inspections (9S2) 447-9850, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372
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DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS �4- /T'��/2.ICH� LC, �
TYPE OF WORK Dt�
USE OF BUILDING __ /?.Es ��i2..
PERMIT NO. C� 7. b,3 /� DATE ISSUED s. 9. U7
BUILDER Gl�N f��a/�.l PHONE # 42. ���. B? o c�
NOTE: THIS IS NO�T A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
� IN CTOR D E
FOOTING �.; �
PLACE NO CONCRETE UNTIL ABOVE HAS BEE S C ED
�UdA k1 -
FOR ALL INSPECTIONS (952) 447-9850