HomeMy WebLinkAboutBuilding Permit 11-0699 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED Op)
ADDRESS 355 i
OWNER CONTR.
PHONE NO. PERMIT NO. 1— 141
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
y( FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: g;�,� 1 C�;,�'i s
V
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---n 4(,6- - 1-P/1- ,r) t•
3 1 „Aete_Q__ -" l n ot.
WORK SATISFACTORY, PROCEED
CORRECT A ION AND PROCEED
❑ CORREC 0 - ALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr.
• •
CALL 447 -98 - OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I ISNOTI
of P114 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
L ® AND UTILITY CONNECTION PERMIT , i , 1 1
4,8NEso, 1 White File PERMIT NO . n e 2 H Cpp licant /j,
3 Pink App /// /` L�((//
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
/
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
Na C010-- cs Act A [v v" th (Phone) ?5 - WO - xep3
(Address) 35'31 6a5s (o oci e tb Prio /6_4_ �` j 3 7
BUILDER / n/ �
(Company Name) A JM,br1 �L / e (Phone) 657- 7 P ' '
(Contact Name) � I / 4 1 1 Ai (Phone)
•
(Address) q N its 40), / / / / /(
41 ) -f / 550i /
TYPE OF WORK 0 New Construction ['Deck DPorch DRe- Roofing XRe- Siding ['Lower Level Finish 0 Fireplace xtOcACICLO
❑Addition ['Alteration ['Utility Connection
CODE: I.R.C. ❑I.B.C. ❑ Misc. C�
Type of Construction: I II III IV V AB PROJECT COST /VALUE $ l ! /) 3 eCra
Occupancy Group: A B E F HI MR S U
Division: 1 2 3 4 5 (excluding land)
1 hereby certify that I have furnished information on this application which is to the best of my knowledge tr and correct I also certify that I am the owner or authorized agent for the
above - mentioned properly and that all construction will conform to all existing state and local laws and wil diet n used plans I am aware that the building
official can ev ke this permit for Just ca se Furthermore, I hereby agree that the city official or a designee may enter t t � IC A • •needed inspections
X J `7�ldP NAT 2706_1 7. , .. 2 6' - //
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 $ 77. 75— This Application Becomes Your Building Permit When Approved Paid `NA Recei. t No. '
Date ; B ;4�
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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 Prior Lake, MN 55372