HomeMy WebLinkAboutBuilding Permit 11-0668 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 93 1 0 / (
ADDRESS 9M62 0-octcorert
OWNER gCONTR.
PHONE NO. PERMIT NO. 1 1 - (
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILUNG
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
J FINAL ❑ PLUMBING FINAL ❑ GASUNE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: IP,2114
a it 1
wiE?ft ,
WORK SATISFACTORY, PROCEED
❑ CORRECT AC N AND PROCEED
❑ CORRECT O CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner /Contr.
CALLpl4 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
of Pltf CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
A ;; ; :~ ` ` TEMPORARY CERTIFICATE OF ZONING COMPLIANCE tr,
;, AND UTILITY CONNECTION PERMIT
,,, y,„Esdo' I White File ���'q f /`
2 Pink City PERMIT NO. t (. /` g
•
3 Yellow Applicant '/
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
2- B c3 Co C° ou G-9-2 Pmt+ N w
LEGAL DESCRIPTION (office use only) •
LOT BLOCK ADDITION PID
OWNER
(Name) Mkrp /L ; /i £, i / z b (Phone) 91'Z — 90? - o y
(Address) 5i4,—+—, -.4.
BUILDER
(Company Name) S Pj2i..'(,14, qq k ,O/LS c e_ (Phone) `ffZ - YYO - /9 9 7'
(Contact Name) T J>w,4s5 (Phone) �i9+- v
(Address) P (J
0 . o 46 e IoR-n' R 1 .4.7 .5 7 Z
TYPE OF WORK 0 New Construction DDeck ['Porch EtitrIZofing ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
❑Addition DAlteration ❑Utility Connection ❑ Misc.
• CODE: rI.R.C. I.B.C. PROJECT COST /VALUE $ /? O OJ
Type of onstruction: I II III IV V A B (excluding land)
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
1 hereby certify that 1 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 construct will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aware that the building
official c permit for ju t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X Ze 0 �l S Y 71z(. ///
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Signature Contractor's License No. Date
Permit Valuation - 2 00 . - Park Support Fee # $
Permit Fee $ SAC # $
Plan Check Fee $ -75- Water Meter Size 5/8 "; I "; $
State Surcharge $ 6 — 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 $ .r,1 �•7
•
This A y /i 'o : omes Y our Buildix Penuit Wh Aed P aid f - 1 ( 7
/ 71( " 7) Receipt No. �p
t S + Date ?�3. f- By � Buil•' g cial
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This is to certify that the request in the above application and accompanying documents is in accordance with the Ciry 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
16200 Eagle Creek Avenue Prior Lake, MN 55372