HomeMy WebLinkAboutBuilding Permit 11-0236 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /(, /(l
ADDRESS 5 (( L pp��,,,, a-
OWNER 4 CONTR.
PHONE NO. PERMIT NO. I ( -' 23(
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: f re> v
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Nn t- 14 --(A_M / 14405
J" WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
ID CORRE1 f RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. f,
C � Owner /Contr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
(CPRI
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 0 1/ t +71
,t- AN ,'
x AND UTILITY CONNECTION PERMIT
M ..NNESO�. I. White File
2_ Pink City PERMIT NO . k 1 _L3 6
3 Yellow Applicant GGG���...
(Please type or print and sign at bottom) _
ADDRESS ZONING (office use)
X /! LC�siti6 Tom G i 7,7s0 2 L' 3 -7z
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER 7D A-F_ 6 AJ IMAI IMVi4 ) (Phone) 6/2- ZO/ - O /
(Address) SVN L I / L6 X J AJ6 70/11 OZ zy9 -S3 7 2_
BUILDER
(Company A g L 6 Z 6-S 7Q f4 M 6 /ZOU r (Phone) S S71s- 57" CJ
(Company Name) ) /
(Contact Name) ' Z C (Phone)
(Address) / - 7 3 / 6 g Ai V C2A J A- i
TYPE OF WORK ❑ New Construction ['Deck ❑Porch IJQRe- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
❑Addition ['Alteration ['Utility Conne io
CODE: ❑I.R.C. ❑I.B.C. ❑ 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 $ � SOU
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 1 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
offiic . e this per • just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Signature Contractor's License No. Date
Permit Valuation 2 - 0 C , Park Support Fee # $
Permit Fee $ 1 -4t 7 5 SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ S J 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 $ -7q. 2 c
This • pplication Bec t es Your Building Permit When Approved Paid C Li 8J\ Receipt No. 6 2 ' 2 3
,L1 •, Date (54-1/ l l 41 By kW-
I I. 1 ildine ticial 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