HomeMy WebLinkAboutBuilding Permit 11-0824 DATE TIME
CITY OF PRIOR LAKE /
INSPECTION NOTICE SCHEDULED 613! / 1
ADDRESS 55S6p oveit, Q.ar
OWNER CONTR.
PHONE NO. PERMIT NO. / / 8Z 1
❑ FOOTING ❑ PLUMBING RI ❑ EXIGRAD1FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSU TION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
AL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ CH FINAL ❑
COMMENTS: res6
'WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, 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!
INSxon
13 476
� PR / 04,
/ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
4"f6'
l whae pile
z n� City PERMIT NO. /) _ 6 i ZT
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
55 ( v - A0CS\ C\CC\Q– S
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OW R (..,. W r.A _e-- (Phone) 9 c). bob 1 0'
(Address) sS („ \/ - Cat �f
BUILDER (� l
(Company Name) RNPINe - C.<n- V\ \N • C Crv - tA`(YAr.711 (S q (Phone) 1 -' T7037 — q 51
(Contact Name) C — . 1 1 Z- Vr r <l,, (Phone) tf5 - 9 (1)^ 6 /,,S
(Address) ,96.D e t cP t' Evcy, Vv .-. s- - ,3 - ,?r7
TYPE OF WORK ❑ New Construction ['Deck ['Porch "like-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 �-��-++�� e�
Occupancy Group: A B E F III MR S U PROJECT COST/VALUE $ I l //� � f Vu
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 for the
above -m 'ty and s con existing e and ll pdanith are
off vial c voke oned er pe for that just all cause con truction Furtherm will, I hereby form to all agree that st the ci offi or a laws des and wi may enter roceed upon in accor the prop with
to perfo submitted rm neede d ' I am onsaw. that the building
% 'C) \ (�3 t o �t
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 $ 797.r
This Application Becomes Your Building Permit When Approved Paid ' . r Recei . t o i J ,
Date jfigMEMEIM B Az► . _
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 comphance and allows construcnon 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