HomeMy WebLinkAboutBuilding Permit 11-0288 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 511r a O s3a.,.... e k ru _,_
OWNER CONTR.
PHONE NO. PERMIT NO. l — 25
❑ 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: K f roc t }-
C 6 ■
s N° Pc.4 esj
XVVORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contra
CALL 7 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
OF PR /p CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
y TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
U "
'41IA'NESOl'. I. White File
2. Pink City PERMIT NO. ' 1 Zo
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
¶ r L i ( / di--
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER ` /< r - L
(Name) 3'� / ciONJ (Phone)
(Address) 537 V C'/Lf5..lcA.Ve- - -1/.
BUILDER
(Company Name) l '— T rh T e "S7 (Phone) L 2 3t.A.P
(Contact Name) (hi 7 r/ SIM4I6 ,, -/ (Phone) (o / - cif ' -
(Address) yT Z- ,S .. S ?-rte/ L 6 C-1 Q . J 0 4(J f *"' $ -7 S Z-
TYPE OF WORK ❑ New Construction ['Deck ❑Porch e- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection
CODE: I.R.C. ❑I.B.C. ❑ Misc.
Type of Con ion: I II III IV V AB PROJECT COST /VALUE $
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5 (excluding land)
I hereby certify that 1 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 -m= .ned 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 evoke iii t for jus • = use Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed in: ections.
X i■igi A 7o6 zs' //
f Si_lirture Contractor's License No ate
Permit Valuation -�rQ Park Support Fee # $
Permit Fee $ 1 - \ SAC # $
Plan Check Fee $ ( Water Meter Size 5/8 "; 1 "; $
State Surcharge $ - 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 $ "/q • ' \
This Ap • •• • ecomes Your Buifling Permit When • pprov • • Paid ReCel. No. Z
�� /l' 2 ' 1 Date �i ��- B JAr %.
"t uil ng (Alicia 1 i c
This is to certify that the requcs . • . ication 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