HomeMy WebLinkAboutBuilding Permit 11-0162 DATE TIME
CITY OF PRIOR LAKE • a � � ,
INSPECTION NOTICE SCHEDULED �-���
ADDRESS � CQ Z. - I � �j�c�.��
OWNER CONTR.
PHONE NO. PERMIT NO. �� r� C.P Z
� FOOTING ❑ PLUMBING RI ❑ FJUGRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�f{NAL 0 PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: I,�; �.�Q� �e ��� �
J$ WORK SATISFACTORY, PROCEED
i �
f] CORRECT ACTION AND PROCEED
❑ CORREC RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
lNSNOTI
oF p►t� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
� � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �� 7 `(
J .: -� AND UTILITY CONNECTION PERMIT
!
""���FS�,�P � W�,,�e F��e pERMIT NO. ���
_ ��„� �,�,.
� A"ellow Applicant
(Please e or rint and si n at bottom)
ADDRESS ZONING ���re�� ��st�
/ � � �-� I -ta sl�� .¢��
LEGAL DESCRIPTION (oflice use only)
LOT BLOCK ADDITION PID
OWNER
(Name) �'� a�•'c QU►/'�y (Phone)
(Address)
i BUILDER
(Company Name) U�'►-"�f�� w��s�v�1 O..�e.� (Phone) G�1—�6 7—�L 7 f
� (Contact Name) S'�Gk �r� �� (Phone)
(Address) 7 (y/(� L ,�%e ,,.,,, �vou , ��,�'./p/
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Pireplace
❑Addition ❑Alteration ❑Utility Connecuon
❑ Misc. _ 1�✓.7��r..� /'c�p/ � c-r�
CODE: ❑I.R.C. ❑I.B.C. — - - -
Type of Consmiction: I II III IV V A B pROJECT COST/VALUE $ ���. U o
Occupancy Group: A B E F H I M R S U I
(excluding land)
� Division: 1 2 3 4 5 ,
I hereby eertifY that 1 have fiirnlshed mfi�rma[ion un this applicatiun which is to the hest uf my knuwicdge true and correcL I alsu cerufy th�t 1 am the uwner ur authunzed agen[ fiir the
� abuvc-menuoncd properry and that all cunstruction will conform to aIl cxisting statc and local laws and will prucecd in accordancc widi submittcd plans I am aware that thc buildmg
� ufficial can revuke thu perm�t fix�ust cause FuiYhermore, I hereby agree that the c�ty official ur a designec may enter upon the propeity to perform needed mspecUuns.
, X {�.z�-- �Zv6 jsv/9 3' -�z - �(
Signature Contractor's License No. 17ate
Permit Valuation Park Suppart Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8 1"; $
State Surcharge $ Pressure Reducer $
� Penalty $ Sewer/WaterConnectionFee # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee �� Other $
Gas Fireplace Permit Fee $ ' TOTAL DUE $
�
This Application Becomes Your Building Permit When Approved Paid Re t No.
Date B
�
L3uil<hne Ul�ficial I)ate
This is tu certify that thc requcst m the abuve applicauon and accumpanying ducuments is in accurdance with the City Zuning Ordinance and may procecd as requcstcd. "I'hi.� ducument
when signed by the City Planner consututes a tempurary Certific�te uf Zunmg cumpliance and allows cunstructiun to cummence. Before occupancy, a Ccrnticate uf Occupancy must bc
issucd
Planning Director Date Special Conditions, if any
24 hour noticc for �II inspcctions (9i?) 4�17')8511, fax (952) 447-a24>
4646 Dakota Street Prior Lake, MN 55372