HomeMy WebLinkAboutBuilding Permit 09-0171 DATE TIME
CITI( OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 2 �
ADDRESS ll �C�C
OWNER CONTR.
PHONE NO. PERMIT NO. �� �7�
O FOOTING O PLUMBING RI ❑ EX/GRADIFILLING
❑ FOUNDATION O MECH RI O COMPLAINT
O FRAMING ❑ WATER HOOKUP 0 FIREPLACE RI
INSULATION ❑ SEWER HOOKUP O FIREPLACE FINAL
FINAL � PLUMBfNG FINAL ❑ GASLINE AlR TST
O ITE INSPECTION ❑ MECH FINAL �
COMMENTS:
.
�
WORK SATISFACTORY, PROCEED
O RRECT ACTION AND PROCEED
0 CORR WORK, CALL FOR REINSPECTiON BEFORE COVERING
Inspecto Owner/Contr.
CAL -9850 FOR THE NEXT INSPECTION 24 HOURS iN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTN �c SAFETYl
�vsnorr
oF PRI�� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
�; � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �, i7�p y
., - AND UTILITY CONNECTION PERMIT
U i _ �' tr T j v
M��'NES��P I Wh�te F�le pERMIT NO. (J d(7
2 Rnk City �
3 Yellow Apphcant
Please e or rint and si at bottom)
'� �" � i �(� 2 � V"C v�/�y .S E ZOI�IINC'i (ofTice use)
.��.�.
LEGAL DESCRIPTION (oflf'ice use only)
LOT BLOCK ADDITION PID
�nris��� r4 - �er ���_ 6tZ - `� -
w �
(Address)
BUII.,DER
(Company Name) (Ph
(Contact Name) (Phone)
(Address) .
TYPE OF WORK ❑ New Construction eck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fimsh ❑ Fireplace
❑Addrtion ❑Alter io ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B pROJECT COST/VALUE �
Occupancy Group: A B E' F' H I M R S U (excluding land) �
Division: I 2 3 4 5
I hereby cernfy at I have himished mform ion on th�s apphcahon which �s to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above- t e pro rty nd th t a ons iction will conform to all exisnng state and local laws and w�ll proceed m accordance with submitted plans I am aware that th -
offic can r e t pe se Furthermore, I hereby agree that the c�ty official or a designee may enter upon the property to perform needed uispe ions
X Q 27 d
Contractor's License No
,,,,,•.�,.. .
Permit Valuation � � Park Support Fee # $
Permit Fee $ �. 6 SAC # $
Plan Check Fee $ �� Water Meter Size 5/8"; 1"; $
State Surcharge $ � � 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 Fireplace Permit Fee $ TOTAL DUE $ f'�r ,�j' S
's c n comes Your Buiiding Permit Whrn Approved Paid ReCei t NO.
Date — �)i(s B
dme Utticial te
Th�s is to certify that the request m the above appluanon and accompanymg documents �s in accordance with the City Zonmg Ordmance and may proceed as requested Th�s document
when signed by the Ciry Planner constitutes a temporary Certificate of Zonmg comphance and allows construcnon to commence Before occupancy, a Cert�ficate of Occupancy must be
issued
Planning D'uector Date Special Conditions, if any
24 hour notice for all inspections (9S2) 447-9850, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372
�
� DEPARTMENT OF
BUILDING AND tNSPECTION
►1TE ADDRESS I�7� Z N`�lZ�'—%� w�
YPE OF WORK �-
1SE OF BUILDING /�S f� �2
'ERMIT NO. O • 0 �� � DATE ISSUED ¢. z?.0
�UILDER G�i��'l��- PHONE #
IOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING S �z a
PLACE NO CONCRETE UNTIL ABOVE HAS BEE SIGNED
��
FINAL r Y ri
. FOR ALL INSPECTIONS (952) 447-9850
,