HomeMy WebLinkAboutBuilding Permit 09-0254
DATE TIME
CITY OF PRIOR LAKE ~
INSPECTION NOTICE SCHEDULED
ADDRESS 4()~3 kJ ;t~WI.t~~
OWNER CONTR.
PHONE NO. PERMIT NO. er - ?51
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
%NSULATION o SEWER HOOKUP o FIREPLACE FINAL
lNAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREIfiRK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
s: /9 rJ'j
I White
Pink
Yellow
File
City
Applicant
(Please type or print and si,;n at bottom)
ADDRESS
+-033 WILI-OWNOOD
01
S~
LEGAL DESCRIPTION (office use only)
I PERMIT NO. OCl 0741
ZONING (office use)
12/
LOT:3 BLOCK 2. ADDITION W6SIZiu/Gu' PONDS 3 K!./) /lDOA/. PID 25. 3210. 011.0
I
OWNER
(Name)
.s c.o/7 P-If1-/'-'
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
1)e7J'r/c...@ ,,~ O@,c;rJ
,
S"c::-Y'fd'
a ~ f/1/ntJC/~ -;- /fVG, J,
1
(Phone)
(Phone)
1'1,ot/J'
'/2-. Z- z-s~/q, 2-
,
5Jf-/9
/
TYPE OF WORK 0 New Construction ODeck OPorch Me-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAdditlon o Alteration o Utility connelriK~
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc.
A
R
5
B
S
II
F
I
III
H
2
IV V
I M
3 4
I
E
U
PROJECT COST IV ALUE
(excluding land)
$
I hereby certily that I have furnished information on this application whIch IS to the best of my knowledge true and conect. I also certIfy that I am the owner or authorIzed agent for the
above-mentIoned property and that all CllnstructlOn w1l1 conform to all existing state and local laws and will proceed in accordance with sub mIlled plans. I am aware that the building
offici can revoke thIS permIt ~ st cause Furthermore, I hereby agree that the CIty official or a designee may enter upon the property to perlorm needed nspec IOns
.-~ ;>()\ ~q8 C}S
Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
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 Application Becomes Your Building Permit When Approved
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Paid
Date
Buildlllg Ollicial
Date
G,/q?}
# $
# $
$
$
# $
# $
$
$
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-13 yJ
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ThIS IS to cemfy that thc 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 CllnstructlOn to commence Before occupancy, a Cemticate of Occupancy must be
issul'd
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
Special Conditions, if any