HomeMy WebLinkAboutBuilding Permit (2-units) 11-0240 DATE TIME
CITY PRIOR LAKE
INSPECTION TION NOTICE SCHEDULED
ADDRESS ill L H L 4. — 6h1 LL Le. S our �, 0,20\ '
OWNER H CONTR. //
PHONE NO. PERMIT NO. I f —21(0
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
yL FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION 0 MECH FINAL ❑
COMMENTS: 4 4
•
- 111/■
.WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT • - CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr:
CALL • :50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1NSNOTI
(c. P 12./( + CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
x AND UTILITY CONNECTION PERMIT
to
M 'A'NE SOAP I. white File PERMIT NO .
3 Pink Cp ( ' Z 2K)
3 Yellow Applicant ��/
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
( 14 -4-4+ (144 � C 1ze.L—
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID 25 . 221. 010 , 0
A „,. ( E R....4 eArr f ilf4 e, e / (Phone) 'J ? ✓16 -1,� /J
C� c'
(Address) t V Toe d ` ,�0I r,1 v 5 'e .0 4/it J t° /
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ['Deck ❑Porch Re- Roofing e- Siding ❑Lower Level Finish ❑ Fireplace
['Addition ['Alteration ❑Utility Con cti n
CODE: I.R.C. DI.B.C. El Misc.
Type o C struction: I II HI IV V AB PROJECT COST /VALUE $
Occup cy Group: A B E F H I M R S U (excluding land)
Division: 1 2 3 4 5 1
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 constru '.n will conform jp.all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official . • evoke this permit for ust cause , hermore, • • .y agree that the city official or a designee may enter upon the property to perform needed inspections.
x '/
Signature Contractor's License No. Date
Per. - Valuation - 2- 0()_ •"'" Park Support Fee # $
Permit Fee $ 74--7J ` SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 5-• 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 $ 11 .7 `7i
This Apply • . i ecomes Y� Building Permit n App • . ved Paid C C.J Receipt No. 7, 511
�� Date Z �� By
P
i 01
sr
Date
This is to certify +. 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