HomeMy WebLinkAboutBuilding Permit 11-0231 AT TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED I / /496E—
ADDRESS ` -e 6 .41
OWNER CONTR.
PHONE NO. PERMIT NO. /" Z3/
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
AIR FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: /� / '/ O
C� &/ /ce
Ip NORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEW
❑ CORRECT WO ! LL F • - - • CTION BEFORE COVERING
Inspector: L. Owner /Contr:
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
`s PRI CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
4.
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7 a/ z , ---
- ::: rn
AND UTILITY CONNECTION PERMIT
*I NN ESO'°P I. he File PERMIT NO. ► 1 z3 (
2. Pink City
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
4Iy3g ee?QC% La,, // , . Prior Le ke
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER (Name) klr a n .S a // 6et re r (phone 9� SC f 75
(Address) y3 5C9 CA e S l !i if,/ 64 D1 f'1 e. /V2.) t+ Q r L Q X. t
B Company ‘ e�`f // C r (ail . (Phone) 9s� -V '7,5 .5-12 P/7
(Company Name) � / 61 /'!
(Contact Name) Tar/ Q C.4. A .iii/7.4e/ "" (Phone)
(Address) ¥/ ' P6 e S 7 i 7 1.„." /v { ma y / , rt '° )C -�
l
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch e- Roofing ❑Re- Siding ❑Lower Level Finish El Fireplace
['Addition ['Alteration ['Utility Conne lion
CODE: ❑I.R.C. ❑I.B.C. El Misc.
Type of Construction: I II III IV V AB
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $
Division: 1 2 3 4 5
(excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for the
above - mentioned property and that all co fiction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
o ' ' • ke this permitter just cat ". • irthermore, I hereby • ee that the city official or a �ee
designee may enter upon the property to perform needed inspections.
X _�. �iL�a� ■ A.'-‘, ' 0 ilk O 6 q
Si:nature 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 DUE $ -79 7 r
This Application Becomes Your Building Permit When Approved Paid 7 i Re - e t No. 60 2.1
Date A 4 -11nr
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