HomeMy WebLinkAboutBuilding Permit 11-0098 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED � 31 �
ADDRESS �� �Q � �� g„� Q� ��
OWNER CONTR.
PHONE NO. PERMIT NO. ��— dQ � 8
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❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION � MECH RI p COMPLAINT
❑ FRAMING � WATER HOOKUP � FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL � PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: rQ r��-
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t�o�os — /'lk� h'aaF /Qccs.�
� WORK SATISFACTORY, PROCEED
❑ CORREC CTION AND PROCEED
❑ CORRE T RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OwnedContr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
WSNOTI
o � PRJp� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
;,, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
" � AND UTILITY CONNECTION PERMIT
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M�h'NES��P I �Nhitc Pile
; _ ���,� c, PERMIT NO. �� _� �� a
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(Please e or rint and si n at bottom)
ADDRESS ,� ZONING <<>rs�<<�st�
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LEGAL DESCRIPTION (of�'ice use only)
LOT BLOCK ADDIT[ON PID
OWNER
(Name) � 7c.r(' o � (Phone) �: � 2 - ���] - � �- � J
(Address) �`'` ^^'�
i BUILDER
(Company Name) � c�`�-��.�k � ��"�=�:`:.s (Phone) �� 52 Y�'L � lc���
i (Contact Name) (Phone)
_.. ....._
(Address) i �� �`I t�, �.; �(.:_7' �_�4' S �> I�S �tit•�-' �-�` �
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch e-Roofing ❑Re-Siding ❑I.ower Level �inish ❑ Fireplace
❑Addition ❑Alteration ❑Utiliry ConnecC�on
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc _ _ - —_-- _ _-
Type of Construction: I II III IV V A B pROJECT COST/VALUE $ �:' ��'T �
� Occupancy Group: A B E F H I M R S U (excluding land) I
� Division: I 2 3 4 5 ,
� I hcrcby ccrtity diat 1 havc himishcd mti�rmation on this application which is tu thc Ucst of my knuwlcdgc truc and corrcrt. I also ccrufy that I am thc uwncr ur authunzcd agcnt fur thc
� above-mentioned pruperty and that all cunsn�uction will confurm to all existing state ai�d ]ocal laws and will procecd in accurdanee with submrtted pinns. I am aware that the buildmg
ufficial can revoke diis permit for just cause Furthermorc, I hereby agree that thc city official ur a dcsigncc may enter upon die prope�Ty tu perform necdcd mspcchuns-
� X �.� �--- -
Signature Contractor's License No. I7ate
Permit Valuation 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 $ Warer Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee �$ Other $
Gas Fireplace Permit Fee $ TOTAL DUE � .(/_ ,S
This Application Becomes Your Building Permit When Approved Paid Rc°C�i t No. ,Z Q
Date �5 B
� I3uildina l)I�ticial I�atc �
Thu is tu cer[ify that [hc request in the abuve application and accumpanymg ducumen[s is in accordance with the City Zuning Ordinance and may prucecd a.ti requcsted Th�s ducument
u�hen signed by the Ciry Planner cunsututes a tempur�ry Certihcate uf Zonmg cumpliance nnd alluws construction to cummrnce. Befure uccupancy, a Ccrhhcate uf Occupancy must be
issucd
Planning Director Date Special Condi[ions, if any
2�1 how noticc for all inspcctimis (9�2) ��7 �)850, fa� (953) �1�7-�2�15
4646 Dakota Street Prior Lake, MN 55372