HomeMy WebLinkAboutBuilding Permit 11-0309 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED I 1
ADDRESS 5zi 1 2 19 {olp 1_1 Dr- ,
OWNER CONTR.
PHONE NO. PERMIT NO. /1 "?
❑ 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:
6 t6e, 4.- ci * ..4
_, 1 o1
• I
✓ {a' WORK SATISFACTORY, PROCEED
O CORRECT ACTION AND PROCEED
❑ CORRECT ■ • RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 0 9 Owner /Contr:
CAL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
o� r H �
,, CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec' d
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE //
m AND UTILITY CONNECTION PERMIT 7 "0
r27
M'N'NEso 'cP I. White File
2 Pink City PERMIT NO. /� - 4 5U 9
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
_c2-1Iz 401 I €w00 t R -/
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER /
(Name) / t / �' (Phone) (r 2) T - Zo 7 l
(Address)
BUILDER
(Company Name) /o4y S c l(rr o rs (Phone) (76 3) yZ S ~ d 0
(Contact Name) (Za , ...5 - Z - 4; 4 / Sfs V4 / �7 / (Phone) �� Co.L/Lt - D Z 6
t6
(Address) 1(3 O 8 70 PC-- N\ r 14 ro J I41 j C
TYPE OF WORK ❑ New Construction ❑Deck ['Porch Qf Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ['Utility Conne •
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
of
Type of Construction: I II III IV V A B PROJECT COST /VALUE $ 68 c� _
}.mo
Occupancy Group: A B E F HI MR S U (excluding land) •
Division: 1 2 3 4 5
I hereby certify that I ha ntshed in rmation on this application which is to th -:'of my knowledge true and correct. I also certify that 1 am the owner or authorized agent for the
above - mentioned erty and that a construction will conform to all ex : e and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can rev e this permit for ju cause. Furthermore, I her- . .: • e th. e city official or a designee may enter upon the property to perform needed ins ections.
X eo3 8 7 Lai 11)3 S/ /
Signature Contractor's License No. Date
Permit Valuation .2, S - ®0 Park Support Fee # $
Permit Fee $ 7, SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ d" 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 $ 77 75
This Application Becomes Your Building Permit When Approved Paid ' Receipt No. '2 god
Date 4 / —a9 -9/ By
Buildim '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 / — /'�
• ning 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