HomeMy WebLinkAboutBuilding Permit 11-0289 DATE TIME
CITY OF PRIOR LAKE itioft(
INSPECTION NOTICE SCHEDULED
ADDRESS l52. (p H i W i. \,AS O icif tl..t
OWNER CONTR.
PHONE NO. PERMIT NO. 11 — ?g* 9
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
JNAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION MECH FINAL ❑
COMMENTS: /.2 `(.30
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ar" worowskL.,.■
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Na V) cCVI) liA
WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR• T O' , CALL FOR REINSPECTION BEFORE COVERING
lnspe •r i Owner /Contr:
C •850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
0 . P R I04, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
f' ..1, 9 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
"( ' `� AND UTILITY CONNECTION PERMIT 0--(-2._.-k(
d
2. Pink e Cit PERMIT NO. `..... Z c
ty
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
?6A 7 tm Los t lcwy 1 01,✓
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER /
(Name) TED /U R -F G' &R-- (Phone) !a /o2 Sy6'- .Y5<T-7
(Address) j,Qyt L ,q $ S /TE"
BUILDER q
(Company Name) per-re-6T- f Y T0 f d PS (Phone) 7c.3 - 2 7/ `p 70 0
(Contact Name) E C I &A LL).J (Phone) 74 ?d _O °,C
(Address) 5)6, ; P o nd e ; 0.7 e,) "r /c L -) / 47,0 55 -
TYPE OF WORK ❑ New Construction ['Deck ❑Porch ,14e-Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
['Addition DAlteration ['Utility Connection
CODE: I.R.C. ❑I.B.C. ❑ Misc:
Type of Construction: I II III IV V A B C
Occupancy Group: A B E F III MR S U PROJECT COST /VALUE $/ a./ D 7 ...;
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. I also certify that I am the owner or authorized agent for the
above - mentioned property 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 As .. - o is it for 'list cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
,5 ,
Signature Contractor's License No. Date
Permit Valuation — 1_504...) Park Support Fee # $
Permit Fee $ . 1/440 S SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ to Y tJ I) 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 , $ TO TAT AT. DUE $ (�
ep `t�S
TIC Ao es Your Building Permit hen Approved Paid 0. Receipt No. b S -lc.;
Applicatio
-4k Date ‘ 1 ')J — By 3 (� �l
{ `'� 25
uilding Official Date
This is to certify that the request in the above application and accompanying documents is in accordance web the City Zoning Ordinance and may proceed as requested. This document
when sigord by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before txcupancy. a Certificate of Occupancy must be
issued.
Plnnoiog TSirecii,r Talc Silezicil Con a;60.,,, t3iic, Nan.
24 .liar notice far _l: inspections (952) 447-9350, fa 447-4245
4646 Dakota Street 3.E . Prior Lake, Miunesot_' 55372