HomeMy WebLinkAboutBuilding Permit 11-0125 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED (! �
ADDRESS �O �T� _!�►Y�vc,J�,.e�,.,`, �IUoQ,
OWNER CONTR.
PHONE NO. PERMIT NO. ��— � ZLj
O FOOTING O PLUMBING Ri O EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI 0 COMPLAINT
❑ FRAMING � WATER HOOKUP O FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FtNAL
1� FINAL O PLUMBING FINAL O GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS: /,J� �,c,�.
o� ,' �2.
� WORK SATISFACTORY, PROCEEO
❑ CORRECT ACTION AND PROCEED
❑ CORRE RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwneNContr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH d� SAFETYl
wsiror,
� oF rR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� .,- � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�' �� ` `' AND UTILITY CONNECTION PERMIT
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M��'NES��P I Wh�te Fde pERMIT NO.
2 Pmk City ( ( � I ^� �
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(Please e or rint and si at bottom)
ADDR��SS O ���� �� � �� �� ZONING (oe�ice use)
I all (�I
��.� , � < <
LEGAL DESCRlPTION (office use only)
LOT BLOCK ADDITION PID
O a WNER �%� I (Phone) �� 2 ' � "I I � �d��� •
I1
(Address) �, �
BUII.,DER t��"J I �! "! `'I LVZ 1�
(Company Name) (Phone)
(Contact Name) (Phone)
(Address) 27i
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Sidmg ❑Lower Level Fm�sh ❑ Fireplace
❑Addmon ❑Alteration ❑Utiliry Connecdon
CODE: ❑I.R.C. ❑I.B.C. �M �S�. � I �ASh ���11���1dr�VU�
Type of Construction: I II III IV V A B pROJECT COST/VALiTE $ 2"t .' � �
Occupancy Group: A B E F H I M R S U
(excluding land)
Division: 1 2 3 4 5
I hereby certify t t have fi�rmshed mformahon on this appl�cahon wh�ch is to the best of my knowledge tn�e and conect. I also cert�fy that I am the owner or authonzed agent for the
above-ment on p perty and that all construcUOn will conform to all extsung state and local laws and will proceed m accordance with subm�tted plans I am aware that the buildmg
official can e ke is permit for �ust e Fu ermore, I hereby agree that the c�ry official or a designee may enter upon the property to perform needed inspechons
X tL/l� % � �1,�? I
Signa e Contractor's License No. Da
Permit Valuation Z,�� • Park Support Fee # $
Permit Fee $ "'l � -t -- SAC # $
Plan Check Fee $ Water Meter Size 5/S"; 1", $
State Surcharge $ S'' 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 A 'cati Becomes Your Building Pemrit en A roved Paid � ReCel t No.
�
Date B
Z Z rr
uddms Utlicial Date
Thu �s to cernfy that the request m the above applicanon and accompany�ng documents �s m accordance with the City Zoning Ordinance and may proceed as requested. Th�s document
when signed by the Gty Planner constitutes a temporary Cemficate of Zomng compl�ance and allows construcnon ro commence Befure occupancy, a Ceruficate of Occupancy must be
issued
Planning D'uector Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (9S2) 447-4245
4646 Dakota Street Prior Lake, MN 55372