HomeMy WebLinkAboutBuilding Permit 10-0755 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 22 �(
ADDRESS � �p � `, �, ��iw�-- L� �(—�
OWNER CONTR.
PHONE NO. PERMIT NO. ��" 7-5�
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECN RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEYVER HOOKUP ❑ FIREPLACE FINAL
�FINAL ❑ PLUMBING FINAL ❑ GAS�INE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: �Q,roo�
�
�1� �� ��
, � -
�WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE W K, CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
CAL -9 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
lNSNOT!
oF rRi CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
,� ° � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ��/� �1 U
� ; X AND UTILITY CONNECTION PERMIT �
� ;�
��A'NES��P I�4'hite F���� PERMIT NO. (� � S��
2 Pink Ci�y
; }'ello�c Applicnnt
(Please e or rint and si n at bottom)
ADDRESS � , ZONING c�����<<����
i � � a. _ ,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER // /
(Name) �2� �i �j f-, �'� � (Phone) ��' yY��S�P
(Address) GL�r-rQ
i BUILDER L l
(Company Name) ��D/� �� HI�Yisv_7 / �^P � �C (Phone) �1,�"�.5�'���
�
� (Contact Name) ��Q. ' J 0' � n S � � (Phone) li /2 — ''f2_3 — ��--�
(Address) � � ,
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch �Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connect�o�
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. ___ __
Type of Construction: I II III IV V A B '
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $/Q_ �, OU'
(exchiding land)
Division: 1 2 3 4 5
l hereby certify that l havc tiirnished mfurmatiun un this applicatiun which is tu the Uest nf my knuwledge true and correct. I;�Iso cernfy that I am the owner ur authurized agent ti�r thc
� abovo-mennoned properry nnd that all construction will contixm to all existing state and local laws and will procecd in accurdance with submmed plans- f am aware that the buildmg
ufticial can revoke th�s permrt for�ust cause- Furthermore, 1 hereby agree that the ciry official ur a designee may enter upon the prupetty to perform necded ms ecuuns-
� x � ' — ��-�`-,�� l � �
Signature ontractor's License No. Date
Permit Valuation "2 J U Park Suppart Fee # $
Permit Fee $ '� `'t�, S SAC # $
Plan Check Fee $ Water Meter Size 5/8"; I"; $
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 $'7� �'� S
This Application Becomes Your Build'u�g Permit When Approved Paid P R2Cei [ No. Z
Date U vZ Icl B ZS
� � o��oz /�°
t3uildina U(ticial D.�tc
This �s to certify that thc requcst in the abuve applicauon and accompanying documents is in �ccordance with du City Zuning Ordinance and may prucecd as requcsted- This ducument
when signed by the Ciry Planner cunsututes a tempoi.vy Certiticate of Zoning compliance and alluws construction to cummence. Before occupancy, a Ceruficate uf Occupancy must bc
i issucd
Planning Director Date Special Conditions, if any
24 hour noticc for all inspcctions (952) 4a7-9850, fax (9S2) a�17-�12a�
4646 Dakota Street Prior Lake, MN 55372