HomeMy WebLinkAboutBuilding Permit 11-0294 DAT TIME
CITY OF PRIOR LAKE /
INSPECTION NOTICE SCHEDULED (/ �, / / - 3,
ADDRESS Q ci &eiriy
OWNER CONTR.
PHONE NO. PERMIT NO. / f Zy f
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
,INAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
r--(6-(7
WORK SATISFACTORY, PROCEED
❑ CORRECT A / TION AND PROCEED
❑ CORRECT / fi • K ALL FOR REIN • le ' BEFORE COVERING
Inspector: fi 4 Own /Contr:
'
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CNEs0 Pk CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE l
A ND UTILITY CONNECTION PERMIT 1. White File �
2. Pink City PERMIT NO. t k _2 9 Li
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
X 360 1 k l o w ( cal (-1 ' k
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER (
(Name) �C� h n 1 1 (Phone)
Y (Address) J` L/ia(OW 1122 1 , ` SL )
BUILDER .,
(Company Name) _ QC \tom • • % l'tS L--` (Phone)
/- Q
Y (Contact Name) UQ !j f _ A // + _ (Phone) Co �� -. ` 30
(Address) 1104° w l
O Gatthoc�Q d j'ClIr L_A,Ki
TYPE OF WORK ❑ New Construction ['Deck ['Porch (re- Roofing ['Re-Siding ELower Level Finish ID Fireplace
['Addition ❑Alteration ['Utility Connec ion
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
N Type of Construction: I II III IV V AB PROJECT COST /VALUE $ )Q, 000 , t0
Occupancy Group: A B E F HI MR S U
(excluding land)
Division: 1 2 3 4 5
1 hereby certify that I h ve furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the
above - mentioned prop and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
\ official can revoke this A mit for t t c . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ins ections. X030 -X-11
Si Contractor's License No. Date
Permit Valuation '2_ SOc j Park Support Fee # $
Permit Fee $ "-2`—( c 7 SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ tj G ° t) 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 $ 19, 7 S
T Applicatio omes Your Building Permit When Approved Paid ( (-e Ut Receipt NO. M S
Date [fit-( "'Z S l ( By J
Building Official Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This 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 Special Conditions, if any
24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372