HomeMy WebLinkAboutBuilding Permit (2-units) 11-0239 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED s/r,J I/
ADDRESS 11 4 1510 " fl e ..qt TIA C:
OWNER CONTR.
PHONE NO. PERMIT NO. 1)-23
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
C4FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:4 H
@ I�z
W ORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORR• T W• -K, CALL FOR REINSPECTION BEFORE COVERING
Inspef or: Owner /Contr:
1 ALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
(c-PR CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
I--r TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
x AND UTILITY CONNECTION PERMIT
U I r j
a',NNES0:::/ 1. white File PERMIT NO
2. Pink City l 1 _ z
3 Yellow Applicant J 4
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
14 s + (14.sue -, C (E--.C-
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
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-ff �yj��,�
(Name) v 4, /"v� -f '` � 1 r (Phone) 6/2 15 5,
(Address) l" z 6
- /ei /4441- lfr �� /� / �,} .142k. //44,
BUILDER
(Company Name) (Phone)
(Contact Name) (Phone)
(Address)
TYPE OF WORK ❑ New Construction ['Deck ❑Porch Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
['Addition ['Alteration ['Utility Con ction
CODE: I.R.C. ❑I.B.C. ❑ Misc.
Type of onstruction: I II III IV V A B PROJECT COST /VALUE $
Occupancy Group: A B E F H I M R S U
(excluding land)
Division: 1 2 3 4 5
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 1 am the owner or authorized agent for the
.),,,
above - mentioned property and that al onstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
officia revoke this . • " it for jus ause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
x AP ✓��_ _ r _.`I
Signatur Contractor's License No. Date
Pe Valuation ZSpO .— Park Support Fee # $
Permit Fee $ 1 4- • SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ S' 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 $ '7er 7 j
This App / a 01 `' ccomes Your"Building Permit , en Apr oved Paid Receipt ,i, 1
/ I Date N By
u 'ding Official Date
This is to certify tha , n 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