HomeMy WebLinkAboutBuilding Permit 11-0438 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 611(.9(//
ADDRESS N 0J5 z. 1„ `
OWNER CONTR. q
PHONE NO. PERMIT NO. 1 1 -- 6 1Z
❑ 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: 42 c c
oicskA_ c':- L.,
Xl-0 ,a 4f /9,,,
X WORK SATISFACTORY, PROCEED
❑ CORRECT AP ON AND PROCEED
❑ CORREC ' '' 1 K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: / Owner /Contr:
CAL 447 -985' FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
o f Pkto CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
. � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
U
x AND UTILITY CONNECTION PERMIT
y'A•IvEsolt. I White File
Pink city PERMIT NO. \, l _ i -
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS _ ZONING (office use)
l40 ! t i�hx \( Li N E
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER y �
(Name) ( rrn Ill oen (Phone) cQ — a `
(Address) 140/ 5 lei I re, ! r� I i / V E
(Co DER )�C l P - e—rnO e , l / ( )gSa, / s - 1,c9 06 (Com an Name }� �� °�' //1 Phone
(Contact Name) L 1F?rb 11 lick (Phone) 9 5�-�l /S -7 01 6
(Address) � E 0b E' a s, 4.71 vc1 . P. r h 5S 1 (o
TYPE OF WORK ❑ New Construction ['Deck ❑Porch ,Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
EAddition ['Alteration ['Utility Connection
CODE: enIJ .C. ❑I.B.C. ❑ Misc. c ' j� (�
Type of Construction: I II III IV V A B PROJECT COST /VALUE $ T V ` D 484 Occupancy Group: A BE F HI MR S U /
(excluding land)
Division: 1 2 3 4 5
1 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 I am the 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 revoke this permit for Just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed tnspectio s
X C.P td DO o44)Jii
Signature Contractor's License No. Date
Permit Valuation '7 S-OO Park Support Fee # $
Permit Fee $ 7 4 7 ; SAC # $
Plan Check Fee $ l 7 Water Meter Size 5/8 "; 1 "; $
State Surcharge $ - Pressure Reducer $ 5.
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 I $ TOTAL DUE $ -1 9 1 5
( /
,
This licati : mes our Building Permit When Appri ed Paid Receipt No. (p �[
' Date ! 1 B y / `
■ / 6
Buil - .- 'jai D to
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