HomeMy WebLinkAboutBuilding Permit 09-0532 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /�
ADDRESS yS8�� ,�µ�,411�,�iC
OWNER CONTR.
PHONE NO. PERMIT NO. � � � �3
� FOOTING ❑ PLUMBING RI ❑ EXlGRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL ❑ PLUMBING FINAL ❑ GASUNE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
S
� WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC RK, CALL FOR REINSPECTION BEFORE COYERING
Inspector. Owner/Contr.
CAL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
o � rR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� ;.� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �, /� O
�' ' ;. x AND UTILITY CONNECTION PERMIT
U �rj
M NNES� P 1 Whrte File ^ ��
' �` 2 Pmk �,� PERMIT NO.O O� ��
3 Yellow Applicant
Please e or rint and si at bottom
ADDRESS ZOI�TING (ott'ice use)
� �1� N�i�G��r� T�h. �
LEGAL DESCRIPTION (ofi'ice use only)
LOT BLOCK ADDITION PID
(Name ����� hon � � � ^ � � P �
(Address)
om an C�i��( ��� �-C�Ei C-Ol�� • one �(03 �� 27" ��
ct Na L%� �i � QE-�c�'�1�� (Phone)
d � ` d � I �'� F( . �ilTm`",/�t.c .�l ("1- t � l
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fimsh ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connecnon ` '
CODE:'�,I.R.C. ❑I.B.C. �Misc. �U ✓N / / �N �iC"/I�/�
Type of Construction: I II III IV V A B �� ¢ Q
Occupancy Group• A B E F H I M R S U PROJECT COST/VALUE S� i.� �• 0
Division: 1 2 3 4 5
(excluding land)
I hereby certify that I have fiimi fo ion on th�s apphcat�on whuh u to the best of my knowledge true and correct. I also certify that I am the owner or author�zed agent for the
above- hon d properry that cons uchon will conform to all extsnng state and local laws and w�ll proceed m accordance with submitted plans I am aware that the buildmg
offic oke this mrt f s cause Furthermore, I hereby agree that the c�ty official or a designee may enrer upon the property to perform needed mspea�o
� ( ( � l
i e Contractor's License o. ate
Permit Valuation Q�� � Park Support Fee #
Permit Fee $ . � SAC # $
Plan Check Fee $ � Water Meter Size 5/8"; 1"; $
State Surcharge $ � 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 � � $ �.
�
This i a B Building Petmit Wh Appr ved Paid o. Recei t No.
Date B
'� 2. o r� �
t Idma ttic < Date
This is to cerhfy that the request m the above appl�cat�on and accompanymg documents is m accordance wuh the C�ty Zorung Ordmance and may proceed as requcsted 7'h�s document
when s�gned by the Gry Planner constitutcs a temporary Certtficate of Zomng compliance and allows constructton to commence. Before �xcupancy, a Ccrt�ficate of Occupancy must be
issued
Planning Director Date Special Condidons, if any
24 hour notice for all inspections (952) 447-9850, Tax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372
DEPARTMENT OF
BUILDING AND INSPECTION
.
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SITE ADDRESS ��
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TYPE OF WORK � ��
USE OF BUILDING
PERMIT NO. � ���� DATE ISSUED � �� ," � , � g ��
BUILDER G° '��'"�`�' `'``
��,,�' , rHONE � � Z
NO
TE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT oA�
INSPECTOR
�Z ��/°t��
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
�p-'1in t� ia 5..� 1
, 3 � ,�
FINAL
�� FOR ALL INSPECTIONS (952) 447-9850
.