HomeMy WebLinkAboutBuilding Permit 09-0515
DATE TIME
SCHEDULED 1..{ '2 )!
LJo~ D,,&
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDREss3~-O
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
<D4INAL 0 PLUMBING FINAL
o SITE INSPECTION IJ 0 ,ECH FINAL
COMMENTS: (,.CrJ['a;sL C\
v
I I f\ l"-
e lo~ J-Kp l.) lo
\
-.
'1 -56-
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
^-J~ W /hoM ;k-~
/J - .
)(WORKSATISFACTORV, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~l ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Il Owner/Contr:
'Y
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERIUICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1. ( r "'I. ~
~.':~ ~:~ I PERMIT NO. otJ,O 5/~.
3, Yellow Applicant 1
<PIe r mint and sim at bottom)
ADDRESS
3~50 Wood DucK Dy-, NW
PnGV' LK.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(N ame)
M \ cha e \ R, \ e ~
W Dad Due k. Dy
NW
(phone)
Py\ ov LIZ
(Address) 3 ~ '::> 0
BUILDER
(Company Name)
(Contact Name)
(Address) l Dll
ZONING (office use)
Pill
95Z ~ ~SS'. 43Z-0
fXLe\
2St'jAVI
~Uhk:.e V
RODfi VI ~
LK Blvd NW
(phone) IUJ~ ." L . 0/'77
(Phone) saWl~
PrnnK a ~~~o')
TYPE OF WORK 0 New Construction ODeck OPorch >>-ROOfing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration DUtility Connection
CODE: OI.R.C. OI.B.C.
Type of Construction: I
Occupancy Group: A B E
Division:
o Mise:
II IDIVVAB
F HI MRSU
1 2 3 4 5
PROJECT COST/VALUE $ I ~ / 000
(excluding land)
e infurmation 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
ali co ction will conform to all existing state and local laws and will r._.....J in accordance with submitted plans. I am aware that the building
t ca . Furthermore, I hereby agree that the city official or a designee may enter upon the r.-r"-" to r_L._ needed insJle.ctions.
0201 (od \'/ ~ 7}/O /00,
v Si!#ature Contractor's License No. - Date
I
x
I .
\.../
I Permit Valuation
I Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
Park Support Fee
SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
This Application Becomes Your Building Permit When A.. '. I ed
I Paid
I Date
/11
'/10 --- .
...,~ (.J~ 0'1
, ,
Building Official
Date
# $
# $
$
$
# $
# $
$
$ ~
,.,/
$ [&
(J
Receipt~o. ~Jr
By /L_
tJ
This is to certify that the request in the above application and a~~~,.mying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a t~-r"'..ry Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Plannin~ Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372