HomeMy WebLinkAboutBuilding Permit 11-0779 DATE TIME
CITY OF PRIOR LAKE
INSPECTION G�
INSPECTION NOTICE SCHEDULED G
ADDRESS 6 5 7 -- OMR.T. \I •
OWNER CONTR.
PHONE NO. PERMIT NO. 1 1 — 77 7
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
IL FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION 13 evoa
❑ MECH FINAL
COMMENTS: C
CL e 4 2, `A- t
lam,
X WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr.
CALL 44 -98511 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENT S ARE FOR YOUR PERSONAL HEALTH Ao SAFETY!
SNSNOT]
7A,),/'----s: CITY OF' PRIOR LAKE BUILDING PERMIT, Date Rec'd
ti V TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
MITV 1 ,� `�' AND UTILITY CONNECTION PERMIT Lae. l /
1 White File
2 Ark City PERMIT NO . / / 77 7
.
3 Yellow Appl,cant
(Please type or print and sign at bottom)
ADDRESS ! S. (4 ?0 n Mc TEA 1L- c ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PIE}
(Name) '1 D A S 1-1-A & H (Phone)
(Address) 1'S -(g0 0 A-t fec,,A1 - At L S€ ,
BUILDER 2 4b CM PA ' I AK (Phone) '' ^`'H? - 4 f . LQ Pe (Company Name) L J i � ( )
(Contact Name) Voce 71 6t t' (Phone) 6 ;■•'' 43 '$0"Z
(Address) (47 6`1 QAIZTl\ Stile -G6T S'E; ,SOrre tvs jPJak. LAIer,me ✓ ss37P
TYPE OF WORK 0 New Construction DDeck ❑Porch edire- Roofing DRe- Siding ❑Lower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection
CODE: DI.R.C. EILB.C. 0 Misc:
Type of Construction: I iI III IV V A B Q
Occupancy Getup: A B E F H 1 M R S U PROJECT COST /VALUE $ , OC °
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent fix the
above - mentioned property and tha : construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
offcial , - oke this . • • , . Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
(jr -tibl S - 1(o — tt
Signature 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 7J
,
This Application Becomes Your Building Permit When Approved Paid 7 ' l -t R pt No. (03 f �
Date .i6 , B
Building 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 S.E., Prior Lake, Minnesota 55372