HomeMy WebLinkAboutBuilding Permit 09-0639 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 3 2S !�
ADDRESS � � �Q � �'U tM IMcTL.�� �'� �j"
OWNER CONTR.
PHONE NO. PERMIT NO. � -- �p �j �
O FOOTING � PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP � FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GAS�INE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
i. � �
� .� ��,� �-,�,
�r�k.� o �►.�.-
❑ WORK SATISFACTORY, PROCEED
�CORRECT CTION AND PROCEED
❑ CORRE T K, CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
CA L -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
lNSNOT!
� PR/��� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� � AND UTILITY CONNECTION PERMIT
J p.
M��'NES��P �. Wh,�e File pERMIT NO. � � q
_. rink ciry `.�
; Yellow Applicanl �
(Please e or rint and si n at bottom)
ADDRESS ZONING ���ee�� �5�>
4.��Z H�u M r� � r� c� g� � N� �- �
LEGAL DESCRIPTION (otTice use only)
LOT � BLOCK 3 ADDITION 1�-rv U� �"�' � L(.� 3� PID 2�S 3 , � ZZ.. U
OWNER q Q� �/
(Name) L U � � � (Phone) /� � ! ° � 6 _ `
(Address)
i BUILDER _
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Leve] Finish ❑ Fireplace
❑Addition ❑Alter io ❑Utiliry Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. __ __
Type of Construction: I II III IV V A B \
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $
(excluding land)
� Division: 1 2 3 4 5 ,
I hereby certify that 1 havc tiirn�shed mfiirmatiun un this application which is to dic best uf my knuwledge vue and correct. 1 also cerufy that 1 am the uwner ur authurizccl agent for Ihe
� above-mennoned properry and that all c struction will conform [o all existing stare and lucal liws and will proceed in accordnnce with submined plans- 1 am aware that the buildmg
uffici �vuke thi � cr or �u. r is �' rthcrmo�, I hereby agree that die city official ur a designec may enter upon the prope�ty to perform necdcd m.epc uns
' X• —_ _–� �—f—
Signature Contractor's License No. 1)ate �
Permit Valuation �� i' Park Support Fee # $
Permit Fee g 2! /' SAC # $
Plan Check Fee $ � Water Meter Size 5/8"; 1"; $
State Surcharge $ ^ Q 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 �
This App i i n Be es Y ' ing Permit When ppro d Pald ReCei t NO.
� //� Date B
� `fJ 7iU
E3wldma U�ticial Dat �
This is ro c�r fy ha th requcst irul�e abuve applicahon and accompanym docume s is in accordance with thc Clry Zuning Ordinance and may prueecA as requcsted This ducument
when sig lpy t e it Plann � nes a tempo�ary Certificate of Zo ng compl�ance and alluws construction to commence. Befure uccupancy, a Ccrnficare uf Occupancy must be
issucd �
(N �
Planning Director Date Special Conditions, if any
2d hour notice for all inspcctimis (952) ad7-98S0, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
DEP.�RTMENT OF
B�1ILDING AND INSPECTION
---__
SITE ADDRESS `�5�°� I�� w�.�ti-�.� 3irc../� � 2/�tL.
TYPE OF WORK �-
USE OF BUILDING Rc5 �4 r2--
PERMIT NO. ��'-- � j`'1 DATE ISSUED c� 2a
BUILDER �t� C.�-' � i�� PHONE #�t5 z-�-�� - 2��- �
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING � �
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN S GNED
I
FINAL �4 `" �
FOR ALL INSPECTIONS (952) 447-9850