HomeMy WebLinkAboutBuilding Permit 09.0563 P 3 ."
CITY OF PRIOR LAKE DM TIME
INSPECTION NOTICE r 7 SCHEDULED '�-p-s-')
ADDRESS 53 4, �^Z '!''✓)/e. }� () v J '
OWNER CONTR.
PHONE NO. PERMIT NO. 0 Q--- 0563
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
CI FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION Cl SEWER HOOKUP 0 FIREPLACE FINAL
0 FINAL 0 PLUMBING FINAL ❑ GASUNE AIR TST
0 SITE INSPECTION 0 MECH FINAL
COMMENTS: ?
ger 1rKK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK,CA FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CALL 447-98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
rovon
OF PRIo� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
c TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7 j,Y 0 7
AND UTILITY CONNECTION PERMIT /
MiNNE s0. I. White File
2. Pink city PERMIT NO.0.7 0672.3 0
(Please 3 Yellow Applicant ���U
type or print and sign at bottom)
ADDRESS ZONING(office use)
3s il /en4L- -{ 6(cto
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER ( rf
(Name) /14( CM a (� 0 4 (Phone) 6 (Z - -) 1-17 9
(Address)
(CUmDnyy Name) Too g\toZk AS'XC ) (Phone) eicZ- ft,-- MG /
(Contact Name) (Phone)
(Address) U 073 ? An 4 d -4r(-P P_ L.
TYPE OF WORK 0 New Construction ['Deck ['Porch e-Roofing ❑Re-Siding ❑Lower Level Finish 0 Fireplace
['Addition ❑Alteration ['Utility Conne i
CODE: ❑I.R.C. ❑I.B.C. El 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: 1 2 3 4 5
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above-mentioned property and that all construction will c nfor .-.11 exist'.g st. .nd local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke thi permit for just c e irthe ,I h agre• .1• c••official or a designee may enter upon the property to perform needed inspections.
x 10 7-a0-07
Signature
g Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ 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 $ 7& , 00
This Application Becomes Your Building Permit When Approved Paid 7( R eipt No. ¢.��/
Date 7,v,(/ 7
Building Official Date /
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued
Planning Director Date Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372