HomeMy WebLinkAboutBuilding Permit 11-0258 E TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED t � // 9 - Gxp�c.
ADDRESS /h7
I k 9-
OWNER CONTR.
PHONE NO. PERMIT NO. `1 S
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
Ur._FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: 1/e-�4, / 4 / A/4 - C.
W ORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AN • PROCEED
❑ CORRECT 4 , / L FOR REINSPECTION BEFORE COVERING
Inspector. " J Owner /Contr:
r
CALL 447 -9 ; ' FOR THE N INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
!MSxon
0-t PR jO�
, CITY OF PRIOR LAKE BUILDING PERMIT, Rec'd en
*/ Y
AWE 5 v j l ` , � TEMPORARY CERTIFICATE OF ZONING COMPLIANCE �j
AND UTILITY CONNECTION PERMIT
'. White File
2. Pink City PERMIT NO. 1/ 25e
it
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS � . ZONING (ice use) )
1(0 �J' 9 \' i �`--"° t (a- (. to l>e S
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Nae) �
m a r °i- r; y4-1 s ( PhD ) 952 — II - go-693o
(Address) 14034- V i e-- riv(, (vvc SE- ) Pr i B'\ 1Vk N\ 5 S 372.
BUILDER
y Name) Pipe-Y-- Ev e rr 4 , Lt.. 43-,1..s :~C i tt.. lJ (pho (051— (tp ' , 739
(Contact Name) c! -'s-i (b I lay (ph 4;5 i— ,50 3 — 0/39'
(Address) 1 60q a rSs Dri),-e it e.s%f -, BA_rrks v i ( le., mW 55300
TYPE OF WORK 0 New Construction ['Deck DPorch DRe- Roofing DRe- Siding ['Lower Level Finish ❑ Fireplace
DAddition DAlterration DUtllity Connection B6
CODE: DI.R.C. DI.B.C. cog= / a t* e n� n+ cop tSoL 1S --CX ts17. rh
Type of Construction: I U III IV V AB .-f
Occupancy Group: A B E F H I M R S U PROJECT COST/VALUE $ / j 85/. 0 0
Division: 1 2 3 4 S (excluding land)
I hereby certify that I have punished information on this application whidi is to the best of my knowledge true and covert. I also certify that I am the owner or auaadaed agent for the
and n all • , . will conform to all emoting state and local laws and will proceed in accordance with submitted plans. I am aware that the building
offidal y� f drat
" permit for , Iheteby agree that the city official or a designee may enter upon the property to to p needed inspections.
x � "/1 e is e irai n 1 �c I- 3/1 Signature �s L icense No. Date 1
Permit Valuation Park Support Fee # $
PernanlOke detectors sr all be located SAC # $
Pladohailtoleeping rooms ,son each story, Wateer Meter Size 5/8 "; 1 "; $
state sugaitiin halls to sleeping rooms Pressure Reducer $
Penalty $ Sevver/Water Connection Fee # $
Plumbing Permit Fee $ Water Tower Fee # $
1 ''''' Builder's Deposit
.:41f �e? ✓.e 2. -'eel l
Build $
sew alftr at kpaViliremen r of the TR C other $
am- ut o house. Battery operated
a detectors may bP instaUUe.d in AI $ 7% rf
This Applkado>EikWa$'aY44114111 * When Approved Paid /i ' /S No. 67.59'
Date s , / 6,H Br .
Building official Date
This is to certify that the request in tie above application and accompanying documents is in accordance with the Cuy Zoning Ordinance and may proceed as requested. This document
when signed by the My Planner constitutes a temporary Certificate of Zoning compliance and allows construcdon to commence. Before occupancy, a Certificate of Ooct pancy must be
issued.
Planning Director Drs Special Conditions, if tray
24 hour notice for all inspections (952) 447-9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Mlnsesota 55372