HomeMy WebLinkAboutBuilding Permit 09-0190
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
H-1=INAL ;eQJf'
o SITE INSPECTION
COMMENTS:
07E / TIME
SCHEDULED sjz 1&1 1.' 5..:;1
I ~(/SO L~':>';-h/ll/C
CONTR.
PERMIT NO.
'1-170
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
-"'iI PLUMBING FINAL 0 GASLlNE AIR TST
/' eJ MECH FINAL 0
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.,' -1"'""
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r~fL- 0 ff' /~"1 "1S LS
c~ i-O-:'c r J t.-C
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORKrOALL FOR REINSPECTION BEFORE COVERING
Inspector: R... Owner/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH de SAFETY!
lJtISNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
S. of,or
~. ~~e ~:~ I PERMIT NO. 0 q ./9 0
3. Yellow Applicant
(please type or print and si~ at bottom)
ADDRESS
J/;,g-IJ 1;//;:1- i+v'{
5 ;;-:
LOT
BLOCK
LEGAL DESCRu- uON (office use only)
ADDITION
ZONING (office use)
PID
(/;r IV
./t1~
/J j
c/ .5-7-0
c <)") l:~'
(phone) &)5;;; -~ ?f-~/tod,(
OWNER
(Name)
J{P1.5 /lJ//J'/J
Jk()~j W tj}
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
SELA ROOFING & REMODELING, INC,
4lUU !!iA.liJ!;L::UUlt J:SLV u.
ST. LOmS PARK, UN !:!:HS
ID #0001050
,.1 f' (1
(phone)
(phone)
U 1)- ..fd {. - 82) 5/Z"
tfSJ -7 /?--:- 7d-!d~'.
TYPE OF WORK 0 New Construction ODeck OPorch ~-ROOfmg ORe-Siding OLower Level Finish D Fireplace
DAddition OAlteration OUtility ConnectIOn
CODE: OLR.C. OLB.C.
Type of Construction:
Occupancy Group: A B
Division:
o Misc:
I
E
IT
F
1
ill IV V
HIM
234
A
R
5
B
S U
PROJECT COST/VALUE $
(excluding land)
j t{ (./
/IS~ ~
I hereby certify that I have fumisred 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 '~all co.nstruction will ~rm to all existing state and local laws and will proceed in accordance with submitted Plans',t;m aware that the building
:ffict"~' =ok, "'" '":' :'7':::.'. (1 "hi''' ..re,"" fu, ct. offid.<". "''''. =Tf<J) "', """" W "",~ ,,,'" [{ !?tJ./A 0-;
;>ignature - - Contractor's License No. . , . Da(e
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
Paid
Date
Ire
S...../. u'f
, I
Building Official
Date
# $
# $
$
$
# $
# $
$
$
/7 $ 7G, ~
(/
1~tNO ,) 77(,~
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
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
Special Conditions, if any