HomeMy WebLinkAboutBuilding permit 11-0809 , DA TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 2 _43
ADDRESS loa w„LG,I, /., L
OWNER CONTR. �j
PHONE NO. PERMIT NO. > 1... 9a 1
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
INAL ❑ PLUMBING FINAL ❑ GASUNE AIR TST
SITE INSPECTION ❑MECH FI L ❑
COMMENTS: ''•/
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0-WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEEQ,
❑ CORRECT WORK L OR REINSPECTION BEFORE COVERING
Inspector: ner /Contr.
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I SNOTI
o x F PRj CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 6.2 z l I
. AND UTILITY CONNECTION PERMIT
'4N E SOlP i White He PERMIT NO /�f(
2 Yellow City �� x O 7
3 Yellow Applicant ( / • V
(Please type or print and sign at bottom)
ADDRESS ( r 6, ` ) (. (co �) )O � c ( . J ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) - - (Phone)
(Address)
BUILDER /
(Company Name) 46 ``
a Jo _ -d o� l�
.. a1) (Phone) ft"2.__ y-- c)v
(Contact Name) (5 -' ' rel., .a:.., vS (Phone) (/
(Address) l 7 4_ `��' �r
TYPE OF WORK ❑ New Construction ❑Deck ❑Porch Re- Roofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition DAlteration ❑Utility Conn do
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V AB PROJECT COST /VALUE $
Occupancy Group: A B E F II I M R 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 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 am aware that the building
official can revoke this permit for just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed 1 pecttons
x J i-r ?� & 37 2 31 Y 22 -! (
Signature Contractor's License No. ate
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- 7S
This Application Becomes Your Building Permit When Approved Paid inallalatirr et t No. Cifj�r_
Date 'y„
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 a . 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