HomeMy WebLinkAboutBuilding Permit 11-0696 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED L cf
4
ADDRESS 15i 2s" (7p pal OcScL Cr--
OWNER CONTR. / /
PHONE NO. PERMIT NO. 1 1 _ (q,
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
CJ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
FINAL ❑ PLUMBING FINAL ❑ GASUNE AIR TST
❑ SITE INSPECTIO ❑ MECH FINAL ❑
COMMENTS: X ¢.l�gp C
1
a o5eg (C)
PIL141 a
WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORREC K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr.
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
(). P R Is, CITY OF PRIOR LAKE BUILDING PERMIT Date Rec' d
r \ ‘,3-q TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
4 `�' AND UTILITY CONNECTION PERMIT
' j NNE SO
I Pink City 2 PERMIT NO .
Pink Cpp 0_616.
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
I S Z 5 ^ A ? p e cso, TAP.
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION HD
OWNER
(Name) An; ter 1tiar so (Phone) 1P 7 'l 4 a53Le
(Address) / 5 / Z S A o- T i , P2;Or L.0 N SS 3 7 Z
BUILDER
(Company Name) selec -t 5L (l reel.- C -) t ) cE (Phone) 51 ',.:'cl 3/ 30
(Contact Name) 3� geckca r (Phone)e.951 - 5 9.7. * ¥ t 1 R
(Address) (Ze'' Ccyttrc Qckt c_oi'vc a gt f /flAJ SS CZ v •
TYPE OF WORK 0 New Construction ['Deck ['Porch Elf . -Roofing DRe- Siding ['Lower Level Finish ❑ Fireplace
DAddition ['Alteration ['Utility Connection
CODE: ,®I.R.C. DLB.C. ❑ Misc:
Type of Construction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COST /VALUE $ I C,
i 4ro
Division: 1 2 3 4 5 (excluding land)
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 am aware that the building
official can revoke this permit for just use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
.z 9-0s `f ? 6O ? . 30 - / ?
Signature Contractor's License No. Date
Permit Valuation 2 „5"i:c.- - Park Support Fee # $
Permit Fee $ 14 1 C SAC # $
Plan Check Fee $ Water Meter Size 5/8 "; 1 "; $
State Surcharge $ S.- 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 $ "t 1 • ?S
TB , on Be . . mes Your Building Permit Approved Paid 15
°1 $`p Receipt No. 33
��� Date $� /,1/ By 14,
�ir � p 1 1
e uilding 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 S.E., Prior Lake, Minnesota 55372