HomeMy WebLinkAboutBuilding Permit 11-0291 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 15(0 5r)
OWNER CONTR.
PHONE NO. PERMIT NO. /1 — 2?
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ ANAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
fi-ofq aCc.4.4
X WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr:
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
rr P R/p� CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
c T EMPORARY CERTIFICATE OF ZONING COMPLIANCE �' ' AND UTILITY CONNECTION PERMIT C� ZS 1 ��
Q x
:-/A'NESO�� I. while File PERMIT NO . ''`�
2. Pink City ' i 1 , / a I
3 Yellow Applicant G� `
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
i (,,LD o SKY L14,0 6 Ave fi \,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER/1 n
(Name) L-B1. S 54.02`1 (Phone)
(Address) 1 5 &J 50 sii_te 7 JV k AVE tU W
BUILDER < _
(Company Name) (- O. _6 Gib 11 V'L (Phone) G1c aat Li-5
(Contact Name) `-.4 ?. ICj'J (Phone) (oM $ 3 (z, Fs
(Address) tt. .. d _ It 0 `.. � -: 11 ' AI I S 0
TYPE OF WORK ❑ New Construction ['Deck ❑Porch OQKe- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
['Addition ['Alteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
' Type of Construction: I II III IV V A B PROJECT COST /VALUE S
Occupancy Group: A B E F HI MR S U (excluding land)
Division: 1 2 3 4 5
I hereby certify that I 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- mentio prop I 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 can vo e this er • it for t • • use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed in:. •ctions.
1 X aoc,-stria
Signature Contractor's License No. Dm:
Permit uatton Z S 0 0 Park Support Fee # $
Permit Fee $ - ) ‘ 4C 7 S SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ 5/ v J 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 $ / O c. 7 S
This A lication Becomes Your Building Permit When Approved Paid C �.�.) Receipt No. p L 513 G
L I R
p� ^ ZS '( Date QK ^25 — L By V (�6
(dine Official Date
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