HomeMy WebLinkAboutBuilding Permit 09-0386 DATE TIME
CITY OF PRIOR LAKE /
{ INSPECTION NOTICE SCHEDULED r//3/I(p
--ADDRESS 5123 L ( Llnc,4.�cc t.,._ R.1,1 - •
OWNER CONTR.
PHONE NO. PERMIT NO. ( — ?C �D
❑ FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
❑ FOUNDATION 0 MECH RI 0 COMPLAINT
❑ FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
❑ INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
, ❑ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
iF
❑ SITE INSPECTION 0 MECH FINAL 0
COMMENTS:
MIIIIIIIIIEIIIIIIIIIIIIIII
)uetoo .
, rtcrat tvt ty
❑ WORK SATISFACTORY,PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WA/7,0CALL FOR REINSPECTION BEFORE COVERING
Inspector:p V 1 Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH&SAFETY!
INSNOTI
(*---PRI � CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
x AND UTILITY CONNECTION PERMIT.
v �,
MIn'NESO IWhite File ^�
....____________:
2. pink city PERMIT NO.
3 Yellow Applicant
4( lease type or print and sign at bottom)
DDRESS ZONING(office use)
LEGAL DESCRIPTION(office use only)
LOT BLOCK ADDITION PID
OWNER‹,-4")44514-10-€2 MU-44-'72--/ (Phone)9} ? cLVi 6. 1/ 7
(Address)
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑New Construction ['Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑Fireplace
❑Addition ❑Alteration ['Utility Connection
CODE: I.R.C.1 ❑I.B.C. ❑Misc.
Type of Construction: I II III IV V A B PROJECT COST/VALUE $
Occupancy Group: ABE F HI MR SU
Division: 1 2 3 4 5 (excluding land)
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 th. .11 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can
nrevoke
,this permit for just c Ise Furthermore,I hereby :ree that the city official or a designee may enter upon the property to perform needed inspections.
X /-'7/40`
Signature Contractor's License No. Date
Permit Valuation c:Z)., — Park Support Fee # $
Permit Fee $ IH.-2---C SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ r--,..)
J 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 $ ¢' '1
This A.i ati; Becomes Your Building Permit en Ap roved Paid d' Receipt No. Ay I[ v
4 /4
II
DateP17/6?
By kof
•• tat: 4.= (-7 cl
`e wilding. -icial Date
This is to c•tify that th•r uest in tlLabove application and accompanying docu ents is in cordance with the City Zoning Ordinance and may proceed as requested. This document
when sig b he Cit annex constitutes a temporary Certificate of Zoning co pliance a d allows construction to commence. Before occupancy,a Certificate of Occupancy must be
issued.
Da Special Conditions,if any
24 hour notice for all inspections(952)447-9850,fax(952)447-4245
4646 Dakota Street Prior Lake,MN 55372
DEPARTMENT OF
BUILDING AND INSPECTION
PRI
SITE ADDRESS tav act c A-.
TYPE OF WORK lc. ..
USE OF BUILDING Res la_
PERMIT NO. '-3 Y�F, DATE ISSUED 6(z1 cl
BUILDER ' 3 �. . J2�C- PHONE # .�►7/ o
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING 14) C I o
PLACE NO CONCRETE UNTIL ABOV` HA BEEN SIGNED
lielill1"11 I
FINAL I
FOR ALL INSPECTIONS (952) 447-9850
' ,, V.M.11Y c� . Co.. INC. 7 S 3
1 ' P?!Oi TAKE. MOM.! . 55371
\i,i44" 25 ,
C�/*K _ F-7.1 Ca c-- r_-__,-) --...,1 V E. —
-
X7.00--- -
\NNN%s.,...7...........- ( . ' 7 . .
,
6/. '
1
i
tit
/P
0„ . Zo ---•---Wiz. ----1 oQ i �`
? . I IN c'. .'-' fG N
N v N
IN NAC. G' L — I.4. —— I 5
Q
N o GP��'� 1 �'
I
7 -I
QI
\
LG' _I
0
CL
-�. d.._-
Io' UTILITY D
- AINA �+�� a NA-----E--%N.)------1-
--- lGS.S7 -- 11
\