HomeMy WebLinkAboutBuilding Permit 11-0218 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 6 fria
ADDRESS 27^/'1 ^vv-
OWNER CONTR.
PHONE NO. PERMIT NO. /1 2s.-(
❑ 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: ZA)
CiOc- )
Le
£
X WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto ACM Owner /Contr:
CALL 7 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
-9. 7>
o I PR /0 CITY OF PRIOR LAKE BUILDING PERMIT,
A. �y ;` y TEMPORARY CERTIFICATE OF ZONING COMPLIANCE Date Recd
x AND UTILITY CONNECTION PERMIT /-, (e. 1/
4
I :;1: `�
4,.„, ...,P I. White File 2. Pink City I PERMIT NO.ii Z/ 8 I
3
(PIease type or print and sign at bottom) Yellow Applicant
ADDRESS
/' ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) I)F A/ (� Li /1-)
(Phone) y.) L — ? 9 Z — c!S$
(Address) 5',1-yt.-1 /..'
BUILDER
(Company Name) 5 .�-' lr - 4 i o x,s z I e (Phone) 9r 2- — ( 7 1 4°' ' —/ `1 (- 7' 7
(Contact Name) 7)6 y a,:,t fc.t9 ) (Phone) -
(Address) e, O. W X (o Y e 2 i ct (Z L s-5-372...
R"l� `n ,
TYPE OF WORK 0 New Construction ODeck ❑Porch i4Re- Roofing ORe -Siding ❑Lower Level Finish ❑Fireplace
OAddition DAlteration
❑Utility tonne ton ❑ Misc.
• CODE; DI.R.C. ❑I.B.C. PROJECT COST /VALUE S 1/ 7o 0
Type of Construction: I II III IV V A B (excluding land)
Occupancy Group: A BE F HI M R S U
Division: 1 2 3 4 5 I
1 hereby certify that I have furnished information on this application which is to thc best of my knowledge true and correct. I also certify that I am thc 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. 1 am aware that the building
official can •kb this permit for st cause. Furthermore, I hereby agree that thc city official or a designee may enter upon the roe , to
./ /�`/ '.. -- g y P p pry perform needed inspections.
ZC) Y 0 Lis y y /05/I/
Signature Contractor's License No.
Date
Permit Valuation Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; I "; $ —
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 $ 7
This Application Becomes Your Building Permit When Approved / i /
Paid 7j Lan. t No. AM _
Date Co. i// `
Building Official Date /
This is to certify that the request in the above application and accompanying documents is in accordance with the Ciry Zoning Ordinance and may proceed as requested. This document
when signed by the Ciry 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
16200 Eagle Creek Avenue Prior Lake, MN 55372