HomeMy WebLinkAboutBuilding Permit 07-0958
5" ~~ 0 (') 000000 "ll 0 ,. -0
z_
t/l 0 ::t ~ C ~~
"0 ~ en."z."."." 0 0
CD 0 0 5: =iZ(l)~OO z ;;0
2 0 n- o m mo
::c ::c ::c 3: ~"C3:~~ m ;;0 m ~.,.,
l:::I > ~ ;u ;u (I)
r '" Zr>ZOZ Z
t!l m m m (I) -"ll
r 0 0 en Z ~ :::!G')~G') 9 0;;0
:.a t -t -t > z-
t!l ~ > -t ~ m 0 - zO
Ie "-l C;; en o z 0
I 0 -t Z 0;;0
S CD ."
co ;u -t > 5 :::!!;
~ u. '" 5 0 Z 0",
0 - Z -t
." ~ > 0 W mm
~ 0 Z ::c
;;0 0 :<
~ -l "ll "ll ......;
~ ::t ;u ;u \)
~ m ;u 0 0 000000
z ;u 0 0
~ m m m m 3:"llen:e3:"ll
X Z m m % mr~>mr r
-l c C OC -toc
:.a Z ~ en :z:3: m:z:3: "ll 0 (I)
~ "ll
~ ~ en m .,,!!!;U;U;u!!! m 0 0
~ "ll :J 0 zz:z::z:-z ;;0 Z ::t
::! m CD -t >G')OO G') 3: -l m
0 :::t 5 ~ r."OO ;u =i ::0 c
"tl -l () Z ,J -"'''' - c
~ 6 0 zc:c: z r
~ to ~"ll"ll 9 m
z m , 0
C N ."
~ ~ 0 ~.
:z: ::c
m '\"
~ 0 0 -,j
c: 0 (1'1
;;0 < ~ 000000 t\~
(I) m
~ Z ;u G')"''''o~ 1
Z >;;;;0 ~ - ....
Ro > G') ~mm3:G') , m
~ C _"ll"ll"ll~ ~ \J
<
> ~!;!;!;c ~
~ z >OOz:;; ~....
"'i 0 _mm-t-
~ [Tl ;;a"";;a r
-t-- r -.Ji:
enZ Z m
-t~ G')
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF WNING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
I ADDRESS
S-g7~ ~ U~I\)f-
1. White File
2 Pink City
3. Yellow Applicant
I PERMIT NO. 07. 09.58 I
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
~d..~~~
,
S"a ~~L~ ~
(Address)
(phone) '! $"2 · ~ 33 .~"&r'
~
Bun.DER /.. I
(CompanyName)~tU~~ ~~~*
(Contact Name)
(Address) tJ ~. s.
(Phone) 'I ~~ · f6 ~tI. 9 'it) 'f
(phone)
A1,J S51-1"AC
TYPE OF WORK 0 New Construction ODeck OPorch )(Re-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection
CODE: OI.R.C. OI.B.C.
Type of CoDStlUdion: I
Occupancy Group: A B E
Division:
n IDIVVAB
F HI MRSU
1 2 3 4 5
o Mise:
PROJECT COST IV ALUE $
(excluding land)
I hereby certify that I have furnished inftmnation on this application which is to the best of my knowledge true and correet_ I also certify that I am the owner or authorized agemlOr the
above-mentioned property and that all ronstruction will ronlOrm to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can rev this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x
Signa e
Permit Valuation 7QCtJ -
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Building Official
Date
~c:>r.>" ? g ,., '-,it. r. d 7
Contractor's License No. Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1 "; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
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 bour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
CITY OS: PR.IOR.LAK~
INSPECTION NOTICE
SCHEDULED
ADDRESS
~J7 6 {5~ f}--I
OWNER
CONTR.
DATE TIME
)2-},~-/'2
PHONE NO.
PERMIT NO.
7 - q.slS
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
vOk
,
COMMENTS:
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
fiORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO K, CA R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!