HomeMy WebLinkAboutBuilding Permit 11-0751 T TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS LJ 46 C. S w L I.
OWNER CONTR.
PHONE NO. PERMIT NO. ( 1 — 15(
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
]g FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
41 1
_ 17- ,
WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT W RK, 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!
uvsNOfl
of PR / CITY OF PRIOR LAKE BUILDING PERMIT, Date Recd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ('
x AND UTILITY CONNECTION PERMIT
�
��ANES��� I White File
2 Pink any PERMIT NO. If , 5 J
3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
9U e_ z cIizeth, E6
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
•
OWNER
(Name) KES e:S141/ (Phone)
(Address)
BUILDER
(Company Name ,. _ 1 1 e . c .0., I , . r . .. _ (Phone) L 4 S-3
(Contact Name) LA-K. J ` n /L (Phone) (Di 01 1 C -)s 1
(Address) 0\ i o. L' f ce,t,),(4{ UV 74, [ 0f2 sievAga K g k7.
TYPE OF WORK ❑ New Construction ['Deck ['Porch [re-Roofin ❑Re- Siding ❑Lower Level Finish ❑ Fireplace
['Addition ['Alteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: I II III IV V A B PROJECT COST /VALUE S
Occupancy Group: A B E F H I M R S U
(excluding land)
Division: 1 2 3 4 5
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 1 am the owner or authorized agent for the
above -menu ed property and that all construction 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 e oke this er t for Just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections
X aDfe, 3 I as `iS
Signs re Contractor's License No. D t
Pe aluation 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 $
This Application Becomes Your Building Permit When Approved Paid 1K7 R ec pt No. &,3(5 l
Date k / , If B
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 a 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