HomeMy WebLinkAboutBuilding Permit 11-0472 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ZC //
ADDRESS (( o gcn L3 i , 0143 L1
OWNER CONTR.
1 11 —
PHONE NO. PERMIT NO. *rrsrr, 1 (- q y ( ,
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
A- FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: ‘,3;, S d--- L sJ +44 r
-t -r +t- 1k 0lose_ 3 c 1 4 ' L
CL
WORK SATISFACTORY, PROCEED
❑ CORREC • ' T •N AND PROCEED
CI CORRE 4RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: LIM Owner /Contr:
CALL A! -9J FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
of PRIER CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
v Ali:
I White rite PERMIT NO. / / 4.1 2
� l NNESO 2. Pink City
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
u1cq IV) 11aw Lcir
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) d �. � ? , o (Phone)95,,1 10 '? 4
(Address) I cp L 'cl C A
BUILDER
Company SfCt 11 , I t , CL. (Phone) 7 - 7 ?t� —I 2-1 Z
(Company Name) VI � � "'."7 r` )
(Contact Name) �P(Yk.� L d(it h �, r (Phone)
(Address) �3, s� \1J14 0 W CZ4 tA h
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch ❑Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ❑Utility Connection KMisc. f/�
CODE: ❑I.R.C. ❑I.B.C.
PROJECT COST /VALUE S / // /8- II°
Type of Construction: I II III IV V A B (excluding land) � �, l C.N. Occupancy Group: A BE F HI M R S U /t I� � �,�, Li 1 � ,"" i k ( ` (Q ' Ll '�Gt/ t S •
Division: 1 2 3 4 5 � . ...S... ,j'{L ' i(, ./Fir, - ' l 4'
1 hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. l also certify that I am • wner or au omzed agent for •
above- mentioi -• , and that all construction onform to all existing state and local taws and will proceed in accordance with submitted plans. I am aware that the building
official .. is • t cause Fu • " ore. I hereby agree th the city official or a designee may enter upon the property to perform needed inspect' s.
Signature Contractor's License No Da
Permit Valuation Park Support Fee # 3
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 $ 7 9 7y3
This Application Becomes Your Building Permit When Approved P 79, (� / Z , 2 " eipt No. l0 y / /
Date C,/ o r/ B
Building Official Date 1
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 ail inspections (952) 447 -9850, fax (952) 447 -4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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