HomeMy WebLinkAboutBuilding Permit 11-0188 DATE TIME
CITY OF PRIOR LAKE c ��'�
INSPECTION NOTICE SCHEDULED
ADDRESS p28 �j p� ���j e� � ✓
OWNER CONTR.
PHONE NO. PERMIT NO. �/ 1 � 8�
� FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION O SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: Re
c
1��YYORK SATISFACTORY, PROCEED
✓'
❑ CORRECT ACTION AND PROCEED
❑ CORRE K, CALL FOR REINSPECTION BEFORE COVERING
Inspect : Owner/Contr:
C -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
lNSNOTI
�� PRlp�
� � CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 3, 3�, �(
" �' AND UTILITY CONNECTION PERMIT
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l. While F���e pERMIT NO. I
2. Pink City
3. Yellow Applicant
(Please or ' t and si at bottom)
ADDRESS ZONING (otr�ce use)
�O"'t�t��� �� UGti�T �A� :f(1G(' La�. . I ��v JJ � � �
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
ow�R , p ��a - 3 � �3 - �c�3 J
(Name) � � A � �C I o` '� r \ S (Phone) � � �
(Address) oZ � � � �C� CG: "�" ' c• 1 1'�s� � � ( ��^ �_ ��� J � �
BUII,DER (� 1 ? q
(Company Name) �G 1�S�11k. U�US. C bY1��Gl G ` \ � C�. (Phone) �I� � ` � �� — � � O �
(Contact Name) �`� 1� W oe h r l� (Phone)
(Address) o �� � � C � (Y1�7�/ I ! � � J� ��
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch e-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc:
Type of Consuuction: I II III IV V A B �-
Occupancy Group: A B E F H I M R S U PROJECT COST/ VALiJE $ ����� •
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have fumished information on [his apptication which is to the best of my knowledge true and cocrect. I also certify that I am the owner or au[horiud agent for the
above-menaoned proper[y a¢d tltat all construction will conform to all e�sting state and local laws and will proceed in acmrdanee with submitted plans. I am awaze tha[ the building
official can revoke this permit for just ca se. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections.
g •� y �'�-'— �T�-�(�n�� ` !b _ � � 1 � (
�. aturc Contractor's License No. Date
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 $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DLTE $ !,
This Application Becomes You� Building Permit When Approved Paid R ei t NO. '
Date ,
Buildin Official Date
This is to certify that the request in the above applicauon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requesred. T'his document
when signed by the City Planner constitutes a temporary Certificate oF Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
- . _ . ---- _ _ - — . - - — —
Planning Director Date Spec:ial Condi[ions, if any
24 hour notice for all iospections (952) 447-9850, fax (952) 447-4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372