HomeMy WebLinkAboutBuilding Permit 11-0718 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED el 3 GJ 1
ADDRESS 1 H t 7 . LTA., 4-
OWNER CONTR.
PHONE NO. PERMIT NO. / j —7 I
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
0 FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: Pe rtjh
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WORK SATISFACTORY, PROCEED
❑ CORRE AC ION AND PROCEED
❑ COR CT WO' K, , ALL FOR REINSPECTION BEFORE COVERING
Inspe«,•r: ' A Owner /Contr:
C • LL • • I FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
motion
te4 • * re/ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
o* P14/4 CERTIFICATE OF ZONING COMPLIANCE r r `/
�
AND UTILITY CONNECTION PERMIT
y'NNB SOK° 1 white Flit P ERMIT NO. // 7/y
2 Pmt. City `
3 Yellow Applicant '
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Name) if li h/4.1 it (Phone)
(Address) ,
BUILDER / / ,-/ /
(Company Name) c �/ 4 k/f1k,C4o' O/ !,t/ 4 ,,..- (Phone) R.Cd - 5 S -1.Y1(f fe
(Contact Name) e t C Qy0 ll ^ (Phone)
(Address) /` 9 j y Cv.,t,J'o 14 P 4
Gci .....
TYPE OF WORK ❑ New Construction ['Deck ❑Porch e- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
❑Addition ['Alteration ['Utility Connec on
CODE: ❑I.R.C. ❑I.B.C. 0 Misc. •
Type of Construction: I II III IV V A B PROJECT COST /VALUE $
Occupancy Group: A B E F HI MR S U
Division: 1 2 3 4 5 (excluding land)
I hereby certify that 1 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 -ment . • - . property and that all con . *ton will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official c, revo : this pei mit Just ca y,P urthe j .re, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections
x r / ' 472 re✓ 4 —cP —1/
Signatu Contractor's License No. Dat
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 i $ 7 9' 7r-
` � '�
This Application Becomes Your Building Permit When Approved Paid �r i. t No. �_ `2,42111
Date g/ j!, f B
Building Official Date •/d Y i
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