HomeMy WebLinkAboutBuilding Permit 11-0409 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 5/2 5) l
ADDRESS X2 391 Q, c ,v. 6,
OWNER CONTR.
PHONE NO. PERMIT NO. //. L./CA
❑ FOOTING ❑ PLUMBING RI ❑ EXJGRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
* FINAL ❑ PLUMBING FINAL ❑ GASLINE MR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: K e.1.onP
C.654e--k 1-..)
X WORK SATISFACTORY, PROCEED
❑ CORRECT • TION AND PROCEED
❑ CORRE. 1 - • LL FOR REINSPECTION BEFORE COVERING
P
Ins ector: , � Owner /Contr:
CAL • F50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
of PR CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 23 / I
AND UTILITY CONNECTION PERMIT
U g
:?N'NB I. White File PERMIT NO . 3 Pink City / 4.6 3 Yellow Applicant , {�
(Please type or print and sign at bottom)
ADDRESS ZONING (office se)
( q 9 R/ Gam-
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
(Co DER e,�� e� ���"� ��`J 1,2. (Phone) 6 / s 7 - 5/fd'a
(Company Name) DP "
(Contact Name) JK 8440 (Phone)
(Address) y32_ 5. S ti7 -' i LR-L - 4b' n
TYPE OF WORK ❑ New Construction ['Deck ❑Porch e- Roofing ❑Re- Siding ['Lower Level Finish CI Fireplace
['Addition ['Alteration ['Utility Conn tion
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: 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 certi ' at I have fumish 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 -men .ned •rope and t'n uction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official ca revo: this ;nak: ermore, 1 hereby agree that the city official or a d signee may enter upon the property to perform needed inspections
X II �1� //I' Zd(e 523° 5/Z7 / /
O r ' re Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ 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 $ 79_ 7s
-I
This Application Becomes Your Building P ermit When Approved _
pp � g PP Paid Re. pt No. /
Date , 3, i B
Building Official Date I
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