HomeMy WebLinkAboutBuilding Permit 11-0619 DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED (t
ADDRESS LI 6 t2 leC1.JS4t. k
OWNER CONTR.
PHONE NO. PERMITNO. — t r —
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
$FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: PA roo f
CL5e_ 41 G
4tAt6
WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRE 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!
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0 CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
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AND UTILITY CONNECTION PERMIT 7" r (1
to
��ANESO��" 1 White File
2 Pink City PERMIT NO ` t Date Rec'd
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3 Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office u )
./ ('2 P/ ir S IL
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER ++ 1,,� ,_
(Name) . 0/'\ L..-d �T' "'I (Phone)
(Address) Y 6 I L Pl,cp...,-- - SF
BUILDER / Al /� , �
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(Company Name) p 5 V Z / ! "' ( .o . LC In' G (Phone) 0 / — 97 3 �
(Contact Name) J "tilt J / P" , / , (Phone))
(Address) 1 7171 1, 1. t ..' 5 3-01
TYPE OF WORK ❑ New Construction ['Deck ❑Porch Jam" Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
❑Addition ❑Alteration ['Utility Connection
CODE: ❑I.R.C. ❑I.B.C. ❑ Misc. Q` L Q
Type of Construction: I II III IV V AB PROJECT COST /VALUE S
Occupancy Group: A B E F HI MR S U . v Z r
(excluding land)
Division: 1 2 3 4 5
I 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
e nd local laws and will proceed in accordance with submitted am aware that the building
official ca -ment voke ned thi property rmit and for that lust all se constriction Fiiithermore , I here conform by to agree all that thexisting e ci state ty official or a designee may enter upon the property to perform needed plans. inspcctwns 1
X 7'44 °zv( 307 7/1 -zee'
Signature Contractof's License No Date
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 $ 76
Application Becomes Your Building Permit When Approved `�
pp g PPr Paid r R
This A eipt No. Co71�
Date 7 /'L ( f
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