HomeMy WebLinkAboutBuilding Permit 11-0677 DA TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS I li f [L 4J ee
OWNER CONTR.
PHONE NO. PERMIT NO. / / (,'17
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
INAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
/❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
1-bGr titi.
WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT ` ) RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner /Contr.
CAL ► 8 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENT S ARE FOR YOUR PERSONAL HEALTH & SAFETY!
ration
of PRIp CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7 Z�/ (/
. AND UTILITY CONNECTION PERMIT
djp HE S pt�' I white File P ERMIT NO.
z pen A / /
3 Yellow Applicant
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(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
&o N W
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
(Name) � — 3 - 0,e-4 (Phone)
(Address)
BUILDER ., N
(Company Name) C O t P''�` (Phone) 673-1- 2 , z,, 7%0
(Contact Name AII■_ _ i . . " _ (Phon
(Address) y yi p <cc i /ital
TYPE OF WORK ❑ New Construction ['Deck ❑Porch e- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ['Utility Conrrii tton
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B PROJECT COST /VALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: y d ��%% 1 2 3 4 5
I hereby certify that I h - (� fshe. )r • non 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 pr.. , ..i .nstruction . . orm to all existing state and local laws and will proceed in accordance with submitted plans. am aware th the building
official can revoke 04. st cau . emote, I hereby agree that the city official r a nevfriar po ro erty to perform needed spectu
X / d (/,y /
V Signature Contractor's License No. Da e
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 $ — 1 7 7
This Application Becomes Your Building Permit When Approved Paid t - [ ' e ipt No. ea-5
Date 7„ LA, .1(
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 -4245
4646 Dakota Street Prior Lake, MN 55372