HomeMy WebLinkAboutBuilding Permit 11-0157 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS � (,� I �v�U ��
OWNER CONTR.
PHONE NO. PERMIT NO. r� ( S�
❑ FOOTING O PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING � WATER HOOKUP ❑ FIREPLACE RI
❑ 1NSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: �i r��
G��
Y110 I�«.f 14c��S f �
y�WORK SATISFACTORY, PROCEED
/ ❑ CORRECT ION AND PROCEED
❑ CORREC W R CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY.�
WSNOTI
`�� pR� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
;, � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
� y AND UTILITY CONNECTION PERMIT ' .��" `
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M��'NES�4p' � w-�„« F�,�e pERMIT NO. ��
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P rint and si n at bottom)
ADDRESS ZONING (oeficc u,c)
���7f f v��-�l �.� vi:�' S� JV��'V
,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
i BUILDER
�ompany Name)��'lH/ v�'i�'� �� lc��'�t�•�� . C—G � �Phone)
i�((Gontact Name) ��f'�r �� �.. /irr� n/`��=1% (Phone)
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(Address) �' � � � :�L � . -� - r -� �,�
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TYPE OF WORK ❑ New Construction ❑Deck ❑Porch e-Roofing ❑Re-Siding ❑Lower Level Finish ❑ Pireplace
❑Addition ❑Alteration ❑Utiliry Con ct�on
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. __ ___ - -- - --- —
Type of Consmiction: I II III IV V A B pROJECT COST/VALUE $
Occupancy Group: A B E F H I M R S U I
(excluding land)
� Division: I 2 3 4 5 ,
I heceby ecr[ity tha[ I have tumished �nformation un Ihis applicauon which is tu the bes[ oF my knuwledge true and currect. I nlso cerUfy [hat I am the owner or nuthurized agent for Ihc
� abnve-mennoned properry and that all construcnon will conform to all exisung state and lucal laws and will proceed in accurdance with submuted plans I am aware that the buildmg �
' utficial can revuke thi}�p�?mrt tu� �ust causc Fuyelmrmore, 1 hereby agree tha[ the city official ur a designee may enter upon [he property to perfi�rm necded msdccnunti
� R �� � /
�.--: �=-r ---. "" ' S � / } ' � ���
�.- Signature _� �� �Contractor's License No. �/ I"�ate
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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 DUE � S
�
This Application Becomes Your Building Permit When Approved Paid R �i t No.
Date G . /
Buildina Uf�icitil Date
This �s to certify that thc requcst in the abuve appllcauon and accompanymg documents is m accurdance with the Ciry Zuning Ordinance and may proceed as requcsted- This ducument
whcn signed by the City Planner cunsututes a tempurary Certificate uf Zoning compliance and alluws construction to cummence. Betbrr occupancy, a Certdicate uf Occupancy must bc
issut•d
Planning Director Date Special Conditions, if t�ny
2� hour notice for All inspcctions (9�2) -1-17')850, f:�x (9�2) a�7-�24�
4646 Dakota Street Prior Lake, MN 55372