HomeMy WebLinkAboutBuilding Permit 11-0579 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 0) t 7 j 11
ADDRESS Lill I,? CQ / : sea,
OWNER CONTR.
PHONE NO. PERMIT NO. f —57
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
p FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: /
004-P r t.:...(ii
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P 1 i sl N
WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
❑ CORRECT WORK, 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!
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4' \ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
I / � �' �, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
" `� AND UTILITY CONNECTION PERMIT
r NN E SO
1. White City PERMIT NO.
3. Yellow Applicant l 1
(Please type or print and sign at bottom) !!!!
ADDRESS ZONING (office use)
4 /7/7 Oakwood Circle, SE Pr-1 or Lcc
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
(Name) P a t V 1 C / a L uKS 0/7 (Phone) et a - 7002 - (9 go $
(Address) `1` 7/ 7 0a.11woo e,r, se Pte/ 01- L a/C) /'-M/ 55312
BUILDER
(Company Name) (Phone)
(Contact Name) C.7 r c 5 M 1LCJ') , 5 (Phone) l i q 7-/ 6 3 3
(Address)
TYPE OF WORK 0 New Construction [Deck [Porch We- Roofing DRe- Siding °Lower Level Finish ❑ Fireplace
[Addition [Alteration [Utility Connection
CODE: DLILC. OLB.C. [ Misc:
Type of Con:a tction: I II III IV V A B
Occupancy Group: A B E F H I M R S U PROJECT COS /VALUE S 5 70 G
Division: 1 2 3 4 5 (excluding land)
I hereby certify that I have famished 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 penult for just cause. ` , 4 . 0 - , I hereby a that the city official or a designee may enter upon the property to perform needed inspections. XL 'W l a
S.:a.: r Contractor's License No. Date
Permit Valuation Park Support Fee # $
Permit Fee $ 74 .15_ 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 $ 9 71 . 15 -
,, / , ,.�„ ± • -
, : Your Ba • ermk ' , , A . ved Paid . Z S Receipt No. (, �
' Date 7 11 By /
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Building a i cial 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 boar notice for all luspectfons (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street SE., Prior Lake, Minnesota 55372