HomeMy WebLinkAboutBuilding Permit 10-1127 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDU�ED (
ADDRESS `��O"l �22fL;P� D,I�"'
OWNER CONTR.
PHONE NO. PERMIT NO. /Q -- I��.�
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP Q FIREPLACE F(NAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TS7
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: S oU��2 iZ.>��
� (
�WORK SA7ISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwRer/Gontr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
oF PRlp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� � " �' AND UTILITY CONNECTION PERMIT
U �
�
M ��'NE S��P I Whire File pERMIT NO / U _// L 7
2 PmA C�ty
3 ti'ellow Applicant �
(Please e or rint and si at bottom)
ADDRESS ZONING (o�ice use>
�}�� � _ -F � �:
LEGAL DESCRIPTION (oPt'ice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) � �" � J �.� �'L1�( E���'"�l �' (Phone) j `�,�C 7 ' .`� �� fJ
(Address) ' t, ���L�„'�' ' {� :
BUII.DER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Fmish ❑ Fireplace
❑Addihon BfAlteranon ❑UtilityConnection INgT4ML $sc.,qitTUBE^ P�vtids l kFo�M. sl-4k�'r
CODE: ❑I.R.C. ❑I.B.C. � M,sc.`�" Z ��S BI� S�`o1 M D F3 D d�-
. pvct' w��40
Type of Construction: I II III IV V A B pROJECT COSTNALLTE $���`� �
Occupancy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5
I hereby cerufy that I have h�mished mformapon on th�s appLcahon whuh is to the best of my knowledge true and correct I also cerufy that I am the owner or authonud agent for the
ab nnoned pro erty and that all const ucuon will conform to all existmg state and local Saws and will proceed m accordance w�th subm�tted plans I am aware that the buildmg
o i al ca evoke thi permit for �ust cause urthermore, I hereby agree that the ciry o�cial or a designee may enter upon the property ro perform necded mspechons
�.---_ "
X
Signa e Contractor's License No. Date
Permit Valuation .Z 5 � .� Park Support Fee # $
Permit Fee $ 4, , SAC # $
Plan Check Fee $ Water Meter Size 5/8"; 1"; $
State Surcharge $ s,- Pressure Reducer $
Penalty $ SewerJWater Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DiTE $ �R ,"1
This pl' tion Becomes Your Building Pernut When pproved Paid ReCel t NO. �.
Date / B
� 2 /D
Date
Th�s is to certify that the request m the above appLcation and accompanying documents is m accordance wrth the City Zonmg Ordmance and may proceed as requested This ducument
when s�gned by [he Gry Planner constitutes a temporary Certificate of Zonmg comphance and allows construction to commence Befoie occupancy, a Ceruficate uf Occupancy must be
issued
Planning Director Date Special Conditions, if any
24 hour noticc for all inspections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street Prior Lake, MN 55372