HomeMy WebLinkAboutBuilding Permit #09-686 DATE TIIiAE
CITY OF PRIOR LAKE L Z-, �¢,
INSPECTION NOTICE SCHEDULED
1 j�`" ) �.
ADDRESS J`' l� C �l� C/ � � I
OWNER CONTR.
PHONE NO. PERMIT NO. � � �y � �'``
❑ FOOTING ❑ PLUMBIWG RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI � COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEVYER HOOKUP � FIREPLACE FINAL
O FINAL O PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
. __ ....
�, + ,�,_ �. �:
� WORK SATISFACTORY, PROCEED
�O c ORRECT ACTION A D PROCEED
❑ CORRECT VN�RK, FOR REINSPECTION BEFORE COVERING
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Inspector: ��� Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
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DATE TIME
CITY OF PRIOR LAKE gCHEDULED � 9 D
INSPECTION NOTICE �—
ADDRESS
581b � � �
OWNER CONTR.
PHONE NO. PERMIT NO.
❑ PLUMBING RI ❑ EXIGRAD/FILLING
❑ FOOTING p MECH RI ❑ COMPLAINT
❑ FOUNDATION ❑ FIREPLACE RI
❑ FRAMING ❑ WATER HOOKUP
❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ INSULATION �p GASII E A1 TST
❑ FINAL ❑ PLUMBING FINAL
❑ SITE INSPECTION ❑ MECH FINAL ty'1
COMMENTS:
t•
�
� Q�
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR T WO CALL FOR REINSPECTION BEFQRE COVERING
Inspect : __—.____._____ o`NnerJContr: ___
CALL 4 850 FOR 7HE AEEXT INSPECTIQN ?.4 HOtJRS IN ADVANCE.
Cf3'DE REQUdREA1EN��S,4RE FOdZ YOUR PERSONAL 1'iEALTFI & SAFETY!
1NSNOT7
oF PR/p ' CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
F � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� � AND UTILITY CONNECTION PERMIT
��n'NESD� �. Wh��e File pERMIT NO. R � p_
2. Pink City �
3 Yellow Applicant (�(,�
Please e or rint and si at bottom)
ADDRESS ZONING (ot�ice use)
7� -� �
��` �' r�.�� .S� -�- �� �
LEGAL DESCRIPTION (oftice use only)
LOT BLOCK ADDITION PID
k OWNER � �, � � � � q
(Name) (Phone) � `S�°�. �/ `� 7 `1 / �/ �
� �
(Address) ;_� � �L� s..� s
� BUII,DER /� �/
(Company Name) ;J � �� /'� � � � (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofi ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. isc. r V� ���-
Type of Construction: I II III IV V A B �
Occupancy Group: A B E F H I M R S PROJECT COST/VALUE $
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have fiirn' hed information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
above-me ed property a hat all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official n rev ke t per it r jus use. uiYhermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspections. •�
� X t
Sign re Contractor's License No. Date
Permit Valuation � 0 � 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 $
Thi p ication Becomes Your Building Permit When Approved Paid Rece' t No.
Date B
�
Buildim� t icial D�te
Th�s u to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcstcd. This document
when signed by the Ciry Planner consututcs a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Ccrtificazc of Occupancy must be
issued.
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (9S2) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372