HomeMy WebLinkAboutBuilding Permit 11-0823 TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 6 3
ADDRESS / l* A / 0 ' ' r - V , 1 414,
OWNER CONTR.
PHONE NO. PERMIT NO. 1 e Z3
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
FINAL • PLUMBING FINAL ❑ GASUNE AIR TST
SITE INSPECTION ; MECH FINAL ❑
COMMENTS:
At 7411--
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C /456& ii--oe
1 IORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCE9D
❑ CORRECT WORK, IL FOR REINSPECTION BEFORE COVERING
ilt-
Inspector. 11 0- �:!fil ontr.
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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O _ P 64. CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
i t e
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE a 23, /I
r
AND UTILITY CONNECTION PERMIT
*I NN E SO1t. ell
' whit` File PERMIT NO .
2 Yellow City / / -
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
\L\ L5a SWA d4 al i■ir-)A1.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) (Phone)
(Address)
BUILDER 1..\-f ot V i , V £ ` a v e t ; ;I S (Phone) "6 2 5 D 7 , jJ
(Contact Name) Z J &3 t 0 Y C.'L t rtf _ k (Phone)
(Address) I 2:2 IQ 1-- L 0 ( , J 1 8l" rtc., k) l( ( .`> 3
TYPE OF WORK 0 New Construction DDeck DPorch Re- Roofmg DRe- Siding ``� ✓ ✓ �� _
❑Lower Level Finish 0 Fireplace OAddition DAlteration V ❑ Connection
D Misc. PROJECT COST/VALUE (excluding land) $ " 1 jfi bO '-
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 - mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I ., • aware that the building official can revoke this permit for just cause. Furthermore, 1 hereby agree that the city official or a designee may
X
enter upon J= perform spections. 2 V U O `D q li l)
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 $ City SAC and WAC # $
Plumbing Permit Fee $ Water Tower Fee # $
Mechanical Permit Fee $ Builder's Deposit $
Sewer & Water Permit Fee $ Other $
Gas Fireplace Permit Fee $ TOTAL DUE $ 7 C f ' 7J
This Application Becomes Your Building Permit When Approved Paid '7 a3,1 - y, ? ipt No. fp 3 $ 7 J
Date / 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) 447-4243
16200 Eagle Creek Avenue Prior Lake, MN 55372